Basic Information
| Provider Information | |||||||||
| NPI: | 1801842778 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | JOAN | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | RN,CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5620 CLAIRE CT | ||||||||
| Address2: | |||||||||
| City: | DUBLIN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430172440 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6147931497 | ||||||||
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| Practice Location | |||||||||
| Address1: | 757 BROOKSEDGE PLAZA DR | ||||||||
| Address2: | |||||||||
| City: | WESTERVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 430814913 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6148186156 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | NP-00701 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.