Ms Gwendolyn Williams, CFNP | |
401 Catchings Ave, Indianola, MS 38751-2468 | |
(662) 887-2494 | |
(662) 887-3208 |
Full Name | Ms Gwendolyn Williams |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 401 Catchings Ave, Indianola, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447324272 | NPI | - | NPPES |
00124148 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 349327 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | R745811 (Mississippi) | Primary |
Entity Name | Northwest Miss Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598458515 PECOS PAC ID: 3173969177 Enrollment ID: O20240610002576 |
Mailing Address | Practice Location Address |
---|---|
Ms Gwendolyn Williams, CFNP 401 Catchings Ave, Indianola, MS 38751-2468 Ph: (662) 887-2494 | Ms Gwendolyn Williams, CFNP 401 Catchings Ave, Indianola, MS 38751-2468 Ph: (662) 887-2494 |
Elizabeth Baird Dawson, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279 | |
Mr. Bobby Lee Paxton, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279 | |
Carole-lynn Singleton, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279 | |
Kristen Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279 | |
Mary E Mcneer, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279 | |
Mary Pitts, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 122 E Baker St, Indianola, MS 38751 Phone: 662-887-2212 Fax: 662-887-1279 |