Healthcare Provider Details

I. General information

NPI: 1619633062
Provider Name (Legal Business Name): AMBER LYNN WILLIAMS MSN APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 BUNKER HILL DR
PENSACOLA FL
32506-5630
US

IV. Provider business mailing address

1111 S MCGEE RD
BONIFAY FL
32425-3101
US

V. Phone/Fax

Practice location:
  • Phone: 769-243-6141
  • Fax: 601-510-1665
Mailing address:
  • Phone: 606-670-0554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11015238
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: