Healthcare Provider Details

I. General information

NPI: 1730942582
Provider Name (Legal Business Name): KARIN JEONA WILLIAMS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARIN JEONA SKIPWORTH

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 29TH ST NE STE I
PUYALLUP WA
98372-7154
US

IV. Provider business mailing address

PO BOX 24081
SEATTLE WA
98124-0081
US

V. Phone/Fax

Practice location:
  • Phone: 855-255-1750
  • Fax: 855-255-0905
Mailing address:
  • Phone: 855-255-1750
  • Fax: 855-255-0905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP.AP.70120251-NP
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP.AP.70120251-NP
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN323848
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: