Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Williams Primary Care of Tri-Cities, LLC

Organization Primary Care Nurse Practitioner · NPI 1053825075

Williams Primary Care of Tri-Cities, LLC is a Primary Care Nurse Practitioner in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1901 Brookside Dr Ste 105
Kingsport, TN 37660-4617
Phone: (423) 384-2820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence BC18066 (TN)

Record details

NPI number1053825075
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Penny Williams-Cordeiro — Owner · (423) 384-2820
NPI enumeratedNovember 29, 2017
Last updated in NPPESNovember 29, 2017
Mailing address1901 Brookside Dr Ste 105, Kingsport, TN 37660-4617

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