Healthcare Provider Details

I. General information

NPI: 1518176577
Provider Name (Legal Business Name): BARBARA JEAN WILLIAMS R.N., A.P.N, C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PROSPECT AVE
HACKENSACK NJ
07601-1914
US

IV. Provider business mailing address

33 OLD ORCHARD LN
OCEAN NJ
07712-2570
US

V. Phone/Fax

Practice location:
  • Phone: 201-996-2740
  • Fax:
Mailing address:
  • Phone: 732-695-1993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number26NC042660000
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: