Provider Demographics
NPI:1154018455
Name:PERDUE-WILLIAMS, YKINA NASHELL
Entity type:Individual
Prefix:
First Name:YKINA
Middle Name:NASHELL
Last Name:PERDUE-WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:YKINA
Other - Middle Name:
Other - Last Name:PERDUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:613 CLOSHIRE LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35214-4681
Mailing Address - Country:US
Mailing Address - Phone:205-249-8279
Mailing Address - Fax:
Practice Address - Street 1:613 CLOSHIRE LN
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35214-4681
Practice Address - Country:US
Practice Address - Phone:205-249-8279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-169098163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse