Provider Demographics
NPI:1376434142
Name:WILLIAMS, EMILY FREEMAN (FNP-C)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:FREEMAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 DEVONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31546-3510
Mailing Address - Country:US
Mailing Address - Phone:912-202-0636
Mailing Address - Fax:
Practice Address - Street 1:204 DEVONWOOD DR
Practice Address - Street 2:
Practice Address - City:JESUP
Practice Address - State:GA
Practice Address - Zip Code:31546-3510
Practice Address - Country:US
Practice Address - Phone:912-202-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN278151363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily