Provider Demographics
NPI:1154198729
Name:WILLIAMS, JOANNE (APRN, PMHNP-BC, RN)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88041
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96830-8041
Mailing Address - Country:US
Mailing Address - Phone:808-489-9181
Mailing Address - Fax:808-437-7741
Practice Address - Street 1:438 HOBRON LN
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1233
Practice Address - Country:US
Practice Address - Phone:808-941-9648
Practice Address - Fax:808-204-9798
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-4372-0363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIAPRN-4372-0OtherAPRN LICENSE