Blake Mccullough Williams, FNP is a primary care nurse practitioner in Deridder, LA. Blake Mccullough Williams, FNP NPI is 1396363438. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1017 N PINE ST
DERIDDER, LA
ZIP 70634-817
Phone: (337) 202-4101
The NPI 1396363438 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/6/2020 and was last updated on 7/6/2020.