Healthcare Provider Details

I. General information

NPI: 1003786336
Provider Name (Legal Business Name): ASHLYN E WILLIAMS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 HARBISON AVE
PHILADELPHIA PA
19149-2912
US

IV. Provider business mailing address

6501 HARBISON AVE
PHILADELPHIA PA
19149-2912
US

V. Phone/Fax

Practice location:
  • Phone: 215-333-4300
  • Fax:
Mailing address:
  • Phone: 215-333-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP033878
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: