Provider Demographics
NPI:1730557752
Name:WILLIAMS, CIERRA (NP)
Entity type:Individual
Prefix:
First Name:CIERRA
Middle Name:
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 1:1425 HIGHWAY 34 E
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-1323
Mailing Address - Country:US
Mailing Address - Phone:770-304-3724
Mailing Address - Fax:770-304-3726
Practice Address - Street 1:1425 HIGHWAY 34 E
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-1323
Practice Address - Country:US
Practice Address - Phone:770-304-3724
Practice Address - Fax:770-304-3726
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-08
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN233631363LF0000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care