Provider Demographics
NPI:1124882667
Name:WILLIAMS, CHRISTINA N (BSN, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:N
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LACUNA WOODS LN
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-9031
Mailing Address - Country:US
Mailing Address - Phone:843-991-2274
Mailing Address - Fax:
Practice Address - Street 1:101 LACUNA WOODS LN
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-9031
Practice Address - Country:US
Practice Address - Phone:843-991-2274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC241248163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty