person
Blake Mccullough Williams, FNP
Primary Care Nurse Practitioner in Deridder, Louisiana
NPI 1396363438

Blake Mccullough Williams is a Primary Care Nurse Practitioner based in Dry Creek, LA and is specialized in Primary Care. Blake Mccullough Williams practices in Deridder, LA and has the professional credentials of FNP. The NPI Number for Blake Mccullough Williams is 1396363438 and holds a License No. 214331 (Louisiana).

The current practice location address for Blake Mccullough Williams is 1017 N Pine St, Deridder, LA and can be reached out via phone at 337-202-4101.

Location: 1017 N Pine St, Deridder, LA, 70637-5029
person
Provider Profile Details
NPI Number
1396363438
Provider Name
Blake Mccullough Williams
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1017 N Pine St, Deridder, LA, 70637-5029
Phone Number
337-202-4101
Fax Number
Provider Enumeration Date
07/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1017 N Pine St
City
State
Zip
70634-2817
Phone Number
337-202-4101
Fax Number
person
Provider Business Mailing Address Details
Address
1017 N Pine St
City
State
Zip
70634-2817
Phone Number
337-202-4101
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
214331 (Louisiana)
Definition
Definition to come...
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