MEDICARE: JOAN WILLIAMSON MONROE FNP

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	5016963	NC
2	363LF0000X	Family Nurse Practitioner	MONR-OJRKB	NC

General Provider Information

NPI Number	:	1912655234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN WILLIAMSON MONROE FNP

Provider Business Mailing Address
First Line	:	PO BOX 936857
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31193-6857
Country	:	US
Telephone Number	:	910-662-7720
Fax Number	:	910-815-0840

Provider Business Practice Location Address
First Line	:	5505 CURRITUCK DR STE 200
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-1155
Country	:	US
Telephone Number	:	910-662-7720
Fax Number	:

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

Provider Enumeration Date	:	03/15/2022
Last Update Date	:	02/19/2026

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