MEDICARE: SARIAH JEAN WILLIAMSON BSN, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	338176	AZ
2	163WS0200X	School Registered Nurse	RN205712	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN205712	OTHER	AZ	ARIZONA STATE BOARD OF NURSING
2	APRN338176	OTHER	AZ	ARIZONA STATE BOARD OF NURSING

General Provider Information

NPI Number	:	1093442485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARIAH JEAN WILLIAMSON BSN, RN

Provider Business Mailing Address
First Line	:	41282 W HENSLEY WAY
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85138-5908
Country	:	US
Telephone Number	:	602-918-7159
Fax Number	:

Provider Business Practice Location Address
First Line	:	41282 W HENSLEY WAY
Second Line	:
City	:	MARICOPA
State	:	AZ
Zip	:	85138-5908
Country	:	US
Telephone Number	:	602-918-7159
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	05/07/2026

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