Provider Demographics
NPI:1780909259
Name:KNIGHT-WILLIAMS, DEBORAH DIANE (MSN, ARNP, CANP/ FNP)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:DIANE
Last Name:KNIGHT-WILLIAMS
Suffix:
Gender:F
Credentials:MSN, ARNP, CANP/ FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 CAMBRIDGE STATION RD
Mailing Address - Street 2:WMLNC
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-3362
Mailing Address - Country:US
Mailing Address - Phone:502-253-0764
Mailing Address - Fax:502-254-5564
Practice Address - Street 1:405 CAMBRIDGE STATION RD
Practice Address - Street 2:WMLNC
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40223-3362
Practice Address - Country:US
Practice Address - Phone:502-253-0764
Practice Address - Fax:502-254-5564
Is Sole Proprietor?:No
Enumeration Date:2010-03-28
Last Update Date:2010-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3205 P363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health