Provider Demographics
NPI:1174771349
Name:DENNIS, TIMEKI WILLIAMS (NP)
Entity type:Individual
Prefix:MRS
First Name:TIMEKI
Middle Name:WILLIAMS
Last Name:DENNIS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:2996 KATE BOND RD
Mailing Address - Street 2:STE 209
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38133-4030
Mailing Address - Country:US
Mailing Address - Phone:901-300-2970
Mailing Address - Fax:901-384-8988
Practice Address - Street 1:2996 KATE BOND RD
Practice Address - Street 2:STE 209
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38133-4030
Practice Address - Country:US
Practice Address - Phone:901-300-2970
Practice Address - Fax:901-384-8988
Is Sole Proprietor?:No
Enumeration Date:2008-08-29
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN934225200000X
TN20396363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant