Provider Demographics
NPI:1598363194
Name:WILLIAMS, NAKIA KEISHANEE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:NAKIA
Middle Name:KEISHANEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:315 LYNNE DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT WOLF
Mailing Address - State:PA
Mailing Address - Zip Code:17347-9597
Mailing Address - Country:US
Mailing Address - Phone:410-917-6795
Mailing Address - Fax:717-782-6801
Practice Address - Street 1:1965 GREENSPRING DR STE G8
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-4137
Practice Address - Country:US
Practice Address - Phone:410-999-0114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022254363LF0000X
MDR163942363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily