Healthcare Provider Details

I. General information

NPI: 1689025769
Provider Name (Legal Business Name): SHEMINIA WILLIAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHEMINIA LOCKE

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 CENTRE PARK WEST DR STE 175
WEST PALM BEACH FL
33409-6466
US

IV. Provider business mailing address

1210 S OLD DIXIE HWY
JUPITER FL
33458-7205
US

V. Phone/Fax

Practice location:
  • Phone: 561-242-3009
  • Fax:
Mailing address:
  • Phone: 561-263-2234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9298172
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9298172
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: