Clifford Mondell Williams, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R873946 Issued in MS

Practice address

14301 Swan LN
Gulfport, MS 39503-8406

Phone

(228) 669-3818

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336267830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 SWAN LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038406",
            "telephone_number": "228-669-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 SWAN LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395038406",
            "telephone_number": "228-669-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CLIFFORD",
        "middle_name": "MONDELL",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R873946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Willett, PCMHT
• Alice Rae Williams
• Amelia Williams
• Bradley Walter Williams
• Brandon Cole Williams, DMD
• Deandrea Breshea Williams
• Denisha Louise Williams, HAIR LOSS SPECIALIST
• Douglas C Williams
• Elizabeth Williams, LCSW
• Fred Williams, CRNA

• Registered Nurse in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.