OrganizationActive
Advance Healthcare & Wellness Clinic LLC
NPI 1851091680 · Nurse Practitioner · Memphis, TN
Provider details
- NPI number
- 1851091680
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Latonia Williams, Fnp-C /Owner Medical Clinic(901) 216-7457
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1331 Union Ave Ste 1148b
Memphis, TN 38104-7509
Phone: (901) 216-7457
Approximate (ZIP-level) locationGet directions
Mailing address
8093 Falcon Dr
Olive Branch, MS 38654-5619
Registry dates
- Enumerated
- 2023-03-09
- Last updated
- 2023-03-09
- Certified
- 2023-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.