Individual provider · Type 1 NPI
Roderick Jerome Williams, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Longview, WA
NPI number
1861917882
Active
Practice location
600 Broadway St
Longview, WA 98632-3256
Mailing address
3230 Seter Pkwy S Apt 201
Fargo, ND 58104-7822
Other practice locations
- 510 4th St S, Fargo, ND 58103 · (701) 476-7200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R44293 (ND) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP60853251 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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- Harrison H. Detroja, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Longview, WA NPI 1154670628
About NPI 1861917882
Roderick Jerome Williams, PMHNP's National Provider Identifier is 1861917882, issued on Aug 10, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Longview, WA. The record was last updated on Oct 20, 2018.