MEDICARE: MONICA FAYE 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	363LF0000X	Family Nurse Practitioner	APRN11034648	FL

General Provider Information

NPI Number	:	1730910928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA FAYE WILLIAMS APRN

Provider Business Mailing Address
First Line	:	40124 US-27 S
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837
Country	:	US
Telephone Number	:	963-419-2210
Fax Number	:

Provider Business Practice Location Address
First Line	:	40124 US-27 S
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837
Country	:	US
Telephone Number	:	863-419-2210
Fax Number	:

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

Provider Enumeration Date	:	08/09/2024
Last Update Date	:	01/26/2026

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