TISA WILLIAMS

Nurse Practitioner - Gerontology

Active Individual
NPI: 1649964107

Practice Address

3999 DUTCHMANS LN STE 7B
Louisville, KY 40207

Phone: (502) 896-4791

Specialties

Specialty Code Primary License
Nurse Practitioner - Gerontology 363LG0600X Yes 4036265 (KY)

Frequently Asked Questions

NPI 1649964107 is the National Provider Identifier for TISA WILLIAMS, a Nurse Practitioner - Gerontology provider located in Louisville, KY. This NPI was enumerated on June 7, 2023.
TISA WILLIAMS practices at 3999 DUTCHMANS LN STE 7B, Louisville, KY 40207.

Quick Facts

NPI
1649964107
Type
Individual
Enumerated
Jun 7, 2023
Last Updated
Aug 26, 2025

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