Healthcare Provider Details

I. General information

NPI: 1558049395
Provider Name (Legal Business Name): EMILY KRISTINE WILLIAMS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. EMILY KRISTINE COLLINS

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 DAVIS LN STE 200
AUSTIN TX
78749-3802
US

IV. Provider business mailing address

110 DEER RIDGE DR
ROUND ROCK TX
78681-5514
US

V. Phone/Fax

Practice location:
  • Phone: 512-458-8400
  • Fax: 512-458-8593
Mailing address:
  • Phone: 512-458-8400
  • Fax: 512-458-8593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1099880
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1099880
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: