MEDICARE: KARISA WILLAMS

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	163W00000X	Registered Nurse	28220950A	IN

General Provider Information

NPI Number	:	1942165105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARISA WILLAMS

Provider Business Mailing Address
First Line	:	509 ANN ST
Second Line	:
City	:	LEBANON
State	:	IN
Zip	:	46052-1825
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6085 HEARTLAND DR
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-4432
Country	:	US
Telephone Number	:	317-768-2100
Fax Number	:

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

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ KARISA WILLAMS ” Practice Location

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