MEDICARE: MRS. ALISHA MARIE WILLIAMS FNP-C

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	F09201679	MI

General Provider Information

NPI Number	:	1528663929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALISHA MARIE WILLIAMS FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 746723
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6723
Country	:	US
Telephone Number	:	312-733-9730
Fax Number	:

Provider Business Practice Location Address
First Line	:	102 W PIERSON RD
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48505-3348
Country	:	US
Telephone Number	:	810-222-3033
Fax Number	:

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

Provider Enumeration Date	:	12/02/2020
Last Update Date	:	06/01/2026

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