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NPI Code Detail

MEDICARE: DR. STACY KERRIAN WILLIAMS DNP

MEDICARE: DR. STACY KERRIAN WILLIAMS DNP
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
1363LF0000XFamily Nurse PractitionerAPRN11017139FL

General Provider Information

NPI Number : 1952062994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STACY KERRIAN WILLIAMS DNP
Provider Business Mailing Address
First Line : 4961 W ATLANTIC AVE STE 34
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3894
Country : US
Telephone Number : 954-870-0261
Fax Number : 954-827-3249
Provider Business Practice Location Address
First Line : 4961 W ATLANTIC AVE STE 34
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3894
Country : US
Telephone Number : 954-870-0261
Fax Number : 954-827-3249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2022
Last Update Date : 04/22/2026

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