Provider Demographics
NPI:1033625991
Name:WILLIAMS, DUSTIN (ARNP FNP)
Entity type:Individual
Prefix:MR
First Name:DUSTIN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:ARNP FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 BARRETT DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7224
Mailing Address - Country:US
Mailing Address - Phone:919-870-8409
Mailing Address - Fax:877-622-8953
Practice Address - Street 1:3801 BARRETT DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7224
Practice Address - Country:US
Practice Address - Phone:919-870-8409
Practice Address - Fax:877-622-8953
Is Sole Proprietor?:No
Enumeration Date:2017-12-14
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5023479363LP0808X
FL9237452363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily