Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Williams Primary Care of Tri-Cities, LLC

Organization Primary Care Nurse Practitioner · NPI 1053825075

Williams Primary Care of Tri-Cities, LLC provides Primary Care Nurse Practitioner services 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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