Healthcare Provider Details

I. General information

NPI: 1356235758
Provider Name (Legal Business Name): CARSON ELIZABETH WILLIAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 LASH DR
SALISBURY NC
28147-9151
US

IV. Provider business mailing address

149 FARMERS FOLLY DR
MOORESVILLE NC
28117-8572
US

V. Phone/Fax

Practice location:
  • Phone: 704-637-1182
  • Fax: 704-637-9913
Mailing address:
  • Phone: 910-398-1183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5022332
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number314155
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: