Healthcare Provider Details

I. General information

NPI: 1851774020
Provider Name (Legal Business Name): REKITA WILLIAMS NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5306 NC HIGHWAY 55 STE 105
DURHAM NC
27713-7812
US

IV. Provider business mailing address

5306 NC HIGHWAY 55 STE 105
DURHAM NC
27713-7812
US

V. Phone/Fax

Practice location:
  • Phone: 888-865-0960
  • Fax:
Mailing address:
  • Phone: 252-522-9800
  • Fax: 252-523-9790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11047692
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5007741
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: