Provider Demographics
NPI:1861944944
Name:WILLIAMS, PAIGE ALEXANDRIA (FNP)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:ALEXANDRIA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:ALEXANDRIA
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1000 SAINT CLAIR RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35146-5585
Mailing Address - Country:US
Mailing Address - Phone:205-467-6765
Mailing Address - Fax:
Practice Address - Street 1:1000 SAINT CLAIR RD
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:AL
Practice Address - Zip Code:35146-5582
Practice Address - Country:US
Practice Address - Phone:205-467-6765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-118709363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL363LF0000XOtherN/A