Healthcare Provider Details

I. General information

NPI: 1902735988
Provider Name (Legal Business Name): SHUNDA RENEA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 EASTCHESTER DR STE 109
HIGH POINT NC
27262-7739
US

IV. Provider business mailing address

2727 EDENRIDGE DR
HIGH POINT NC
27265-7969
US

V. Phone/Fax

Practice location:
  • Phone: 336-858-1890
  • Fax:
Mailing address:
  • Phone: 336-858-1890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: