Williams, Regina A

Williams, Regina A is an individual health care provider with primary practice located at 200 Hospital Dr , Tylertown MS 39667-2020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Williams, Regina A can be contacted via phone (601) 876-5303.

Contact Information

Primary practice address
200 Hospital Dr Tylertown MS 39667-2020
Phone: (601) 876-5303
Fax: (601) 876-0653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R567396 Mississippi

Profile Details

NPI number 1053424093
LBN Legal business name Williams, Regina A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jun 20th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053424093 NPPES
Mississippi Other P01087216 RAILROAD MEDICARE
Mississippi MEDICAID 02154265 RAILROAD MEDICARE
Mississippi Other 939084 RAILROAD MEDICARE
Mississippi Other 4563153 RAILROAD MEDICARE
Mississippi Other 1700416057 RAILROAD MEDICARE
Mississippi MEDICAID 891011540 RAILROAD MEDICARE

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