Healthcare Provider Details

I. General information

NPI: 1912818758
Provider Name (Legal Business Name): YONE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13521 STEELECROFT PKWY STE D
CHARLOTTE NC
28278-7934
US

IV. Provider business mailing address

4610 BONROI AVE
CHARLOTTE NC
28213-4332
US

V. Phone/Fax

Practice location:
  • Phone: 704-625-6029
  • Fax:
Mailing address:
  • Phone: 704-299-9389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5025051
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: