Provider Demographics
NPI:1871326736
Name:WILLIAMS, ALLYSON KAY (APRN)
Entity type:Individual
Prefix:
First Name:ALLYSON
Middle Name:KAY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 CROSSLAND RD
Mailing Address - Street 2:
Mailing Address - City:PURYEAR
Mailing Address - State:TN
Mailing Address - Zip Code:38251-3600
Mailing Address - Country:US
Mailing Address - Phone:573-318-8146
Mailing Address - Fax:
Practice Address - Street 1:901 N 12TH ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-3632
Practice Address - Country:US
Practice Address - Phone:270-873-2022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4026743363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty