Healthcare Provider Details

I. General information

NPI: 1952957474
Provider Name (Legal Business Name): SHAUNI VONICE WILLIAMS NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHAUNI VONICE GREENLAW FNP-C

II. Dates (important events)

Enumeration Date: 08/12/2019
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 AIRPARK DR
REDDING CA
96001-2433
US

IV. Provider business mailing address

2121 AIRPARK DR
REDDING CA
96001-2433
US

V. Phone/Fax

Practice location:
  • Phone: 530-255-8025
  • Fax: 530-255-8028
Mailing address:
  • Phone: 530-255-8025
  • Fax: 530-255-8028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95012685
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95134349
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number4743
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: