MEDICARE: SHANNON PATRICIA WILLIAMS APRN

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	207Q00000X	Family Medicine Physician	11018488	FL
2	363LF0000X	Family Nurse Practitioner	11018488	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548917537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON PATRICIA WILLIAMS APRN

Provider Business Mailing Address
First Line	:	1801 LOST LAKE CT
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8814
Country	:	US
Telephone Number	:	561-351-7057
Fax Number	:

Provider Business Practice Location Address
First Line	:	2330 N WICKHAM RD STE 12
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-8184
Country	:	US
Telephone Number	:	321-633-3278
Fax Number	:

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

Provider Enumeration Date	:	03/09/2022
Last Update Date	:	06/12/2026

Similar Medicare Providers

1417772666 — MEDFAST URGENT CARE CENTERS, LLC
Practice Location Address:

2330 N WICKHAM RD STE 12
MELBOURNE, FL
32935-8184

Practice Phone: 321-633-3278
Practice Fax: 321-684-7872

1861332116 — FELICIA DEFILIPPIS-KIRSCH
Practice Location Address:

3150 N WICKHAM RD STE 1
MELBOURNE, FL
32935-2322

Practice Phone: 321-775-3334
Practice Fax:

1548194939 — AMY FAYE BANKEY BSN, RN
Practice Location Address:

250 N WICKHAM RD
MELBOURNE, FL
32935-8625

Practice Phone: 321-373-3158
Practice Fax:

1841668639 — TANYA JENISE ESPINOSA M.S.
Practice Location Address:

3260 N HARBOR CITY BLVD
MELBOURNE, FL
32935-6203

Practice Phone: 321-693-8196
Practice Fax: 321-373-4007

1811821838 — MEGANN HAYES
Practice Location Address:

1541 CLOVER CIR
MELBOURNE, FL
32935-5553

Practice Phone: 321-576-6247
Practice Fax:

1194101675 — MRS. TRINITY CATHERINE GRAHAM ARNP
Practice Location Address:

2120 SARNO RD
MELBOURNE, FL
32935-3084

Practice Phone: 321-241-6800
Practice Fax: 321-241-6890

Directions to “ SHANNON PATRICIA WILLIAMS APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.