Healthcare Provider Details

I. General information

NPI: 1154198729
Provider Name (Legal Business Name): JOANNE WILLIAMS APRN, PMHNP-BC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 HOBRON LN
HONOLULU HI
96815-1233
US

IV. Provider business mailing address

PO BOX 88041
HONOLULU HI
96830-8041
US

V. Phone/Fax

Practice location:
  • Phone: 808-941-9648
  • Fax: 808-204-9798
Mailing address:
  • Phone: 808-489-9181
  • Fax: 808-437-7741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN-4372-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: