Healthcare Provider Details

I. General information

NPI: 1336968023
Provider Name (Legal Business Name): SHAILYNN DENAE WILLIAMS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8125 S WALKER AVE
OKLAHOMA CITY OK
73139-9417
US

IV. Provider business mailing address

14701 ALMOND VALLEY DR
OKLAHOMA CITY OK
73165-1415
US

V. Phone/Fax

Practice location:
  • Phone: 405-634-4400
  • Fax:
Mailing address:
  • Phone: 405-532-3433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number220009
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: