Healthcare Provider Details

I. General information

NPI: 1962974071
Provider Name (Legal Business Name): DORIAN NICHOL WILLIAMS APRN-FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2018
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2582 MAGUIRE RD STE 224
OCOEE FL
34761-4749
US

IV. Provider business mailing address

5279 SHALE RIDGE TRL
ORLANDO FL
32818-8750
US

V. Phone/Fax

Practice location:
  • Phone: 407-987-3933
  • Fax: 407-987-3933
Mailing address:
  • Phone: 407-987-3933
  • Fax: 407-987-3933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4046821
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11000308
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: