Individual provider · Type 1 NPI
Roderickus Williams, NP
Psychiatric/Mental Health Nurse Practitioner · Shreveport, LA
NPI number
1679965610
Active
Practice location
8930 Bayonne Dr
Shreveport, LA 71118-2033
Mailing address
9542 Lucien Way
Shreveport, LA 71106-3432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 146918 (LA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 221798 (LA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679965610
Roderickus Williams, NP's National Provider Identifier is 1679965610, issued on Feb 27, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shreveport, LA. The record was last updated on Aug 14, 2021.