Provider Demographics
NPI:1083138226
Name:WILLIAMS, ALVIN GENE (FNP)
Entity type:Individual
Prefix:MR
First Name:ALVIN
Middle Name:GENE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:29037 MIKE THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:ANGIE
Mailing Address - State:LA
Mailing Address - Zip Code:70426-1835
Mailing Address - Country:US
Mailing Address - Phone:985-516-8900
Mailing Address - Fax:
Practice Address - Street 1:2781 S COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-7962
Practice Address - Country:US
Practice Address - Phone:985-241-5525
Practice Address - Fax:985-241-5530
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS902063363LF0000X
LAAP09479363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily