Healthcare Provider Details

I. General information

NPI: 1508779349
Provider Name (Legal Business Name): CHELSEA JANE WILLIAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 GRAND AVE
CHILLICOTHEE OH
45601-3076
US

IV. Provider business mailing address

226 GRAND AVE
CHILLICOTHEE OH
45601-3076
US

V. Phone/Fax

Practice location:
  • Phone: 740-222-9055
  • Fax:
Mailing address:
  • Phone: 740-222-9055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number463177
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: