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NPI Code Detail

MEDICARE: JOANNA ROSE WILLIAMSON AGNP

MEDICARE: JOANNA ROSE WILLIAMSON AGNP
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
1207Q00000XFamily Medicine Physician5014497NC
2363LP2300XPrimary Care Nurse Practitioner5014497NC
3363LA2200XAdult Health Nurse Practitioner5014497NC
4363L00000XNurse Practitioner5014497NC

General Provider Information

NPI Number : 1457927998
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA ROSE WILLIAMSON AGNP
Provider Business Mailing Address
First Line : 3803 ROBERT PORCHER WAY
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-2191
Country : US
Telephone Number : 336-286-3442
Fax Number :
Provider Business Practice Location Address
First Line : 3803 ROBERT PORCHER WAY
Second Line :
City : GREENSBORO
State : NC
Zip : 27410-2191
Country : US
Telephone Number : 336-286-3442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2021
Last Update Date : 04/14/2026

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