Provider Demographics
NPI:1336424209
Name:WILLIAMS, TAMMIE SHEILLON (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:TAMMIE
Middle Name:SHEILLON
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 CEDAR BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-9230
Mailing Address - Country:US
Mailing Address - Phone:248-259-2255
Mailing Address - Fax:
Practice Address - Street 1:3313 NAAMAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-8702
Practice Address - Country:US
Practice Address - Phone:469-209-5013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137006363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI12311571OtherCAQH