Healthcare Provider Details

I. General information

NPI: 1740407386
Provider Name (Legal Business Name): DARLYN WILLIAMS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARLYN R WILLIAMS APRN

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 02/22/2024
Certification Date: 05/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6502 NURSERY DRIVE SUITE 100
VICTORIA TX
77904
US

IV. Provider business mailing address

6502 NURSERY DRIVE SUITE 100
VICTORIA TX
77904
US

V. Phone/Fax

Practice location:
  • Phone: 361-575-0611
  • Fax: 361-579-6913
Mailing address:
  • Phone: 361-575-0611
  • Fax: 361-579-6913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17406
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1112722
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: