Healthcare Provider Details

I. General information

NPI: 1326270430
Provider Name (Legal Business Name): ERIN DOUGLAS WILLIAMSON FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2009
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 N 4TH ST
WILMINGTON NC
28401-3450
US

IV. Provider business mailing address

925 N 4TH ST
WILMINGTON NC
28401-3450
US

V. Phone/Fax

Practice location:
  • Phone: 910-343-0270
  • Fax: 910-251-1540
Mailing address:
  • Phone: 910-343-0270
  • Fax: 910-251-1540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5004467
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: