MEDICARE: MRS. LAURA JEAN WILLIAMS ARNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	ARNP2658422	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1245461466	OTHER	FL	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245461466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA JEAN WILLIAMS ARNP-BC

Provider Business Mailing Address
First Line	:	2525 BAYSHORE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7316
Country	:	US
Telephone Number	:	813-610-2634
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 BAYSHORE BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7316
Country	:	US
Telephone Number	:	813-610-2634
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2009
Last Update Date	:	12/08/2025

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