Healthcare Provider Details

I. General information

NPI: 1912618786
Provider Name (Legal Business Name): VERONICA WILLIAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S LIBERTY ST
RUSHVILLE IL
62681-1419
US

IV. Provider business mailing address

7470 SUNNY RD
RUSHVILLE IL
62681-4840
US

V. Phone/Fax

Practice location:
  • Phone: 217-322-4373
  • Fax:
Mailing address:
  • Phone: 217-491-4216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277004668
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: