Williams, Tanisha Monique
Williams, Tanisha Monique is an individual health care provider with primary practice located at 910 Wallace Ave , Leitchfield KY 42754-2414. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Williams, Tanisha Monique can be contacted via phone (270) 259-9555.Contact Information
Primary practice address
910 Wallace Ave
Leitchfield KY 42754-2414
Phone: (270) 259-9555
Fax: (270) 259-1669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 3008658 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 3008658 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 3008658 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3008658 | Kentucky |
Profile Details
| NPI number | 1285045682 |
|---|---|
| LBN Legal business name | Williams, Tanisha Monique |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2014 |
| Last updated | Dec 5th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285045682 | NPPES |
| Kentucky | MEDICAID | 7100453830-KOHMG | |
| Kentucky | MEDICAID | 201398760A (KOHMG) |
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