Healthcare Provider Details

I. General information

NPI: 1285103952
Provider Name (Legal Business Name): HEATHER JULIENNE WILLIAMS MSN, APRN, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2018
Last Update Date: 12/23/2021
Certification Date: 12/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVENUE
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE BLDG M41
CLEVELAND OH
44195-5037
US

V. Phone/Fax

Practice location:
  • Phone: 216-287-1317
  • Fax:
Mailing address:
  • Phone: 216-444-3083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN.CNP.023954
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberAPRN.CNP.023954
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: