MEDICARE: MS. MELISSA A WILLIAMS PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11045872	FL

General Provider Information

NPI Number	:	1346593985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA A WILLIAMS PMHNP-BC

Provider Business Mailing Address
First Line	:	11709 SW 13TH CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4812
Country	:	US
Telephone Number	:	631-960-2459
Fax Number	:

Provider Business Practice Location Address
First Line	:	11709 SW 13TH CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33025-4812
Country	:	US
Telephone Number	:	631-960-2459
Fax Number	:

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

Provider Enumeration Date	:	10/19/2012
Last Update Date	:	03/12/2026

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