Healthcare Provider Details

I. General information

NPI: 1265340319
Provider Name (Legal Business Name): LANADIA WILLIAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 RAEFORD RD
FAYETTEVILLE NC
28304-3142
US

IV. Provider business mailing address

2918 HIGH PLAINS DR
HOPE MILLS NC
28348-5758
US

V. Phone/Fax

Practice location:
  • Phone: 910-429-7200
  • Fax:
Mailing address:
  • Phone: 910-429-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5025359
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: