Healthcare Provider Details

I. General information

NPI: 1942165105
Provider Name (Legal Business Name): KARISA WILLAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6085 HEARTLAND DR
ZIONSVILLE IN
46077-4432
US

IV. Provider business mailing address

509 ANN ST
LEBANON IN
46052-1825
US

V. Phone/Fax

Practice location:
  • Phone: 317-768-2100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28220950A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: