BRANDY SHANNON WILLIAMS


Address: 1090 Arnold Dr, Jacksonville, AR 72099-4933
Phone: 5019877406

BRANDY SHANNON WILLIAMS (NPI# 1134633654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134633654
Entity Type Individual
Full Name BRANDY SHANNON WILLIAMS
Credential PA-C
Practice Address 1090 Arnold Dr
Jacksonville
AR 72099-4933
Practice Telephone 5019877406
Mailing Telephone 5019873080
Enumeration Date 2017-11-20
Last Update Date 2018-11-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Providers BRANDY WILLIAMS

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1942824776 Brandy Williams Registered Nurse 1184 Huron Ct # 1184, Sidney, OH 45365-8183 2020-06-08
1578013454 Brandy Williams Pharmacist 12390 Kingsride Ln, Houston, TX 77024-4117 2016-10-04
1508205634 Brandy Williams Counselor 3723 A Del Prado Blvd S, Cape Coral, FL 33904 2013-06-21
1346483500 Brandy R Williams Military Health Care Provider 9303 Gilcrease Ave, Unit 1207, Las Vegas, NV 89149-0199 2009-04-16
1407820012 Brandy Jernigan Williams Speech-Language Pathologist 105 Greenway View Ct, Mount Holly, NC 28120-9478 2006-02-13
1104460823 Brandy Williams Behavior Technician 2748 S Falkenburg Rd Ste A, Riverview, FL 33578-2561 2019-11-06
1164957015 Brandy Williams Behavior Technician 9901 Ne 7th Ave, Suite C-116, Vancouver, WA 98685-4523 2017-04-28
1235687302 Brandy Williams Community Health Worker 4773 Caughlin Pkwy Ste 2, Reno, NV 89519-1012 2016-09-16
1649601071 Brandy Williams Social Worker 155 Inverness Drive West, Suite 200, Englewood, CO 80112-5000 2013-12-11
1699026286 Brandy Williams Behavioral Analyst 3925 N Martin L King Blvd Ste 212, N Las Vegas, NV 89032-7676 2012-09-24

Office Location

Street Address 1090 ARNOLD DR
City JACKSONVILLE
State AR
Zip Code 72099-4933

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003319880 Isaac Clayton Talbert Preventive Medicine 1090 Arnold Dr, Jacksonville, AR 72099 2018-03-17
1851806350 Dewayne Lamon Sora Social Worker 1090 Arnold Dr, Jacksonville, AR 72099-4933 2017-12-06
1679025795 Claudia Irene Sloan Military Health Care Provider 1090 Arnold Dr, Jacksonville, AR 72099-4933 2016-10-25
1568918837 Bradley Phares Dentist 1090 Arnold Dr, Jacksonville, AR 72099-4933 2016-08-28
1730594342 Tameka Henry Nurse Practitioner 1090 Arnold Dr, Jacksonville, AR 72099-7274 2014-06-23
1841559960 Lenard Tol Physician Assistant 1090 Arnold Dr, Jacksonville, AR 72099-4933 2012-05-09
1013282086 Tanya Nashel Miller Counselor 1090 Arnold Dr, Jacksonville, AR 72099-4933 2012-03-09
1154480622 Amanda Gail Bellamy Pharmacist 1090 Arnold Dr, Jacksonville, AR 72099-4933 2006-12-08
1336139385 Leonardo Tato Physician Assistant 1090 Arnold Dr, Jacksonville, AR 72099-0001 2005-10-21
1669469094 Jordan Kieliszewski Social Worker 1090 Arnold Dr, Jacksonville, AR 72099 2005-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356876577 Little Rock Air Force Base Eye Care Optometrist 6th Street, Bldg 787, Little Rock Air Force Base, Little Rock, AR 72099 2017-04-25
1841636206 National Vision Optical Technician/Technologist Bldg 787 6th St., Little Rock, AR 72099 2013-05-13
1134341076 Keisha Denythia Henry Psychologist 314 Medical Group, Life Skills Support Center, 1090 Arnold Drive, Little Rock Afb, AR 72099 2007-05-02
1699213454 Teryn Ardell Freeman Physician Assistant 19th Medical Group, 1090 Arnold Drive, Little Rock, AR 72099 2017-02-01
1730314899 Andrew Chichick Iv Military Health Care Provider 1090 Arnold Drive, 19 Amds/sgpf, Little Rock Afb, AR 72099 2009-05-19
1427316488 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 2012-04-27
1700174828 Lewis Mark Wiggins Family Medicine 19th Medical Group, Jacksonville, AR 72099-0001 2011-07-11
1104052158 Seth Thomas Tolliver Nurse Practitioner 101 Master Sergeant Dan Wassom, Little Rock Afb, AR 72099-0001 2009-06-04
1316171994 Jeff J. Sandoval Military Health Care Provider 19 Amds Sgopf, 1090 Arnold Dr, Little Rock Afb, AR 72099-0001 2009-05-11
1366610198 Robert Anthony Olivi Jr. Physician Assistant 19th Medical Group 1090 Arnold Drive, Little Rock Air Force Base, AR 72099-0001 2008-02-14
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831799527 Emily Vander Zee Physician Assistant 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 2020-10-30
1245830314 Jonathan V Korah Physician Assistant 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 2020-10-28
1255931473 Rachel Gavrielle Stahly Physician Assistant 11438 Emuness Rd, Jacksonville, FL 32218-4050 2020-10-27
1760099071 Laura Alexandra Ramos-heckman Physician Assistant 2014 Capistrano Dr, Jacksonville, FL 32224-3091 2020-09-30
1184230583 Julian Clouse Physician Assistant 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 2020-09-21
1962016717 Stephanie Benton Gentry Physician Assistant 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 2020-08-31
1629689435 Monarch Mental Health Association Physician Assistant 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 2020-08-14
1235749425 Nicole Lhommedieu Physician Assistant 3850 Marnie Pl, Jacksonville, FL 32223-3541 2020-08-03
1861002123 Naw-am Acio Daniels Physician Assistant 7467 Volley Dr N, Jacksonville, FL 32277-9368 2020-08-03
1750906640 Veronica Adriana Dediego Physician Assistant 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 2020-06-16
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Competitor

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City JACKSONVILLE
Zip Code 72099

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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