MEDICARE: CHARISSE WILLIAMS-STEWART PMHNP

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	RN803942	PA
2	363L00000X	Nurse Practitioner	APN.1000890-NP	CO
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	403697	NY
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP70014167	WA
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2025050948	MO
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4704427298	MI
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.1000890-NP	CO
8	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	10046018	OR

General Provider Information

NPI Number	:	1740948470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARISSE WILLIAMS-STEWART PMHNP

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6516
Fax Number	:	570-271-5814

Provider Business Practice Location Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-1504
Country	:	US
Telephone Number	:	570-271-6516
Fax Number	:	570-271-5814

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

Provider Enumeration Date	:	11/30/2021
Last Update Date	:	01/22/2026

Similar Medicare Providers

1265390066 — CAITLIN BURLEY
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822-9800

Practice Phone: 570-271-6672
Practice Fax:

1164380648 — EMILY ROSE ZAREMBA
Practice Location Address:

9 STEARNS LANE MC 32-16
DANVILLE, PA
17822-3216

Practice Phone: 570-271-6516
Practice Fax:

1487951406 — DR. LISA MARIE JARAMILLO D.O.
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822

Practice Phone: 570-271-6298
Practice Fax:

1841892619 — TERRA RENEE FASOLD PA-C
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822-9800

Practice Phone: 570-271-6367
Practice Fax: 570-271-7142

1437181971 — SANDEEP NAIDU MD
Practice Location Address:

100 N ACADEMY AVE
DANVILLE, PA
17822-9800

Practice Phone: 570-271-6301
Practice Fax: 570-271-5976

1922080274 — DR. DAVID G TALABISKA DO
Practice Location Address:

100 NORTH ACADEMY AVE.
DANVILLE, PA
17822-2111

Practice Phone: 570-271-6439
Practice Fax:

Directions to “ CHARISSE WILLIAMS-STEWART PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.