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NPI Code Detail

MEDICARE: DR. IVORY WILLIAMS DNP, APRN, FNP-C

MEDICARE: DR. IVORY WILLIAMS DNP, APRN, FNP-C
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
1363LF0000XFamily Nurse Practitioner22318SC
2363LF0000XFamily Nurse Practitioner5012522NC

General Provider Information

NPI Number : 1689159766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IVORY WILLIAMS DNP, APRN, FNP-C
Provider Business Mailing Address
First Line : 203 SALISBURY ST
Second Line :
City : WADESBORO
State : NC
Zip : 28170-2155
Country : US
Telephone Number : 704-694-6700
Fax Number : 704-695-1227
Provider Business Practice Location Address
First Line : 203 SALISBURY ST
Second Line :
City : WADESBORO
State : NC
Zip : 28170-2155
Country : US
Telephone Number : 704-694-6700
Fax Number : 704-695-1227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2018
Last Update Date : 05/17/2023

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