Tina Iesha Williams
Tina Iesha Williams is a Nurse Practitioner in Merrillville, Indiana. Qualified in 2022, 4 years ago. Practices with Novenza Practice Group II, a 15-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 4
- Licensed in
- IN
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
8416 Taft StMerrillville, IN 46410-6122
Phone: (219) 750-9010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Registered Nurse (primary) | Taxonomy 163WG0600X · Licence AG12220078 (IN) |
|---|---|
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence 28222770A (IN) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 71013750A (IN) |
Record details
| NPI number | 1841998374 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 23, 2023 |
| Last updated in NPPES | May 4, 2024 |
| Certification date | May 4, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Novenza Practice Group Ii — 15 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |