Healthcare Provider Details

I. General information

NPI: 1700712866
Provider Name (Legal Business Name): GINGER NICHOLE WILLIAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 OLD BLOOMFIELD PIKE
BARDSTOWN KY
40004-2001
US

IV. Provider business mailing address

711 SANTE FE TRAIL
ELIZABETHTOWN KY
42701
US

V. Phone/Fax

Practice location:
  • Phone: 502-275-9391
  • Fax: 281-723-6476
Mailing address:
  • Phone: 281-723-6476
  • Fax: 281-723-6476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4058864
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: