Provider Demographics
NPI:1861986440
Name:WILLIAMS, AMY M (NP-C)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:MICHELLE
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6339 MADISON DR
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-2683
Mailing Address - Country:US
Mailing Address - Phone:502-802-9760
Mailing Address - Fax:
Practice Address - Street 1:3101 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-3558
Practice Address - Country:US
Practice Address - Phone:904-468-7944
Practice Address - Fax:877-325-2623
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-18
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012344363LF0000X
FLAPRN9489470363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily