Healthcare Provider Details

I. General information

NPI: 1699605584
Provider Name (Legal Business Name): ALEXIS NICOLE WILLIAMS LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 OAKLEAF DR
DAYTON OH
45417-3542
US

IV. Provider business mailing address

710 OAKLEAF DR
DAYTON OH
45417-3542
US

V. Phone/Fax

Practice location:
  • Phone: 326-220-5668
  • Fax:
Mailing address:
  • Phone: 326-220-5668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN.178926.MEDS-IV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: