Lisa Wiliams, RN
Individual provider Active NPI Registered Nurse · Collinsville, MS
NPI 1982948980 · NPPES record last updated Nov 15, 2012
Key facts
- NPI
- 1982948980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R877657 (MS)
- Practice address
- 8237 A Okatibbee Dam Rd
Collinsville, MS 39325 - Phone
- (601) 480-0319
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R877657 | MS | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R877657 | MS | Yes |
Addresses
Primary practice location
8237 A Okatibbee Dam Rd
Collinsville, MS 39325
Mailing address
8237 A Okatibbee Dam Rd
Collinsville, MS 39325
Phone (601) 480-0319
Other providers in Collinsville, MS
- Chandra R Sumlin
- Kristen Thames
- Christopher Karl Thrift
- Adam Turbyfill
- Gina V Whatley
- Cari Ann Williamson
All providers in Collinsville, MS · Registered Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.