MEDICARE: MEGHANN ELIZABETH WILLIAMSON APRN

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	363LF0000X	Family Nurse Practitioner	APRN11023931	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316652316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHANN ELIZABETH WILLIAMSON APRN

Provider Business Mailing Address
First Line	:	1283 SW STATE ROAD 47 STE 103
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-0490
Country	:	US
Telephone Number	:	386-271-2993
Fax Number	:	904-442-8842

Provider Business Practice Location Address
First Line	:	1283 SW STATE ROAD 47 STE 103
Second Line	:
City	:	LAKE CITY
State	:	FL
Zip	:	32025-0490
Country	:	US
Telephone Number	:	386-623-1871
Fax Number	:

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

Provider Enumeration Date	:	01/16/2023
Last Update Date	:	03/12/2026

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