Provider Demographics
NPI:1427508522
Name:WILLIAMS, MARIA PREJEAN (NP)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:PREJEAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 LAKEWOOD DR STE 202
Mailing Address - Street 2:
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380-1883
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:904-265-8181
Practice Address - Street 1:1302 LAKEWOOD DR STE 202
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1883
Practice Address - Country:US
Practice Address - Phone:985-385-3005
Practice Address - Fax:985-380-1029
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08818363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner