Healthcare Provider Details

I. General information

NPI: 1083570121
Provider Name (Legal Business Name): BRITTANY WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 02/14/2026
Certification Date: 02/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1422 ENGLISH MANOR CIR
STONE MOUNTAIN GA
30087-5832
US

IV. Provider business mailing address

1422 ENGLISH MANOR CIR
STONE MOUNTAIN GA
30087-5832
US

V. Phone/Fax

Practice location:
  • Phone: 216-501-9920
  • Fax:
Mailing address:
  • Phone: 216-501-9920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-NP283543
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: