Provider Demographics
NPI:1073100236
Name:WILLIAMS, DOVELINE HANDELL (RN/BSN)
Entity type:Individual
Prefix:
First Name:DOVELINE
Middle Name:HANDELL
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:RN/BSN
Other - Prefix:
Other - First Name:DOVELINE
Other - Middle Name:
Other - Last Name:DELOUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7840 LILAC LN APT 122
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-7669
Mailing Address - Country:US
Mailing Address - Phone:850-288-7098
Mailing Address - Fax:
Practice Address - Street 1:7840 LILAC LN APT 122
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-7669
Practice Address - Country:US
Practice Address - Phone:850-288-7098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-22
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9528256163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse