Provider Demographics
NPI:1184507493
Name:WILLIAMS, AMY K (RN)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:K
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 WOOD ST # 135
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-3223
Mailing Address - Country:US
Mailing Address - Phone:318-210-7295
Mailing Address - Fax:
Practice Address - Street 1:116 VERSAILLES BLVD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-4009
Practice Address - Country:US
Practice Address - Phone:318-210-7295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-26
Last Update Date:2025-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN084223163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse