Provider Demographics
NPI:1992279665
Name:WILLIAMS, YOLANDA D (PMHNP, FNP)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PMHNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 W NORTHERN PKWY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-4707
Mailing Address - Country:US
Mailing Address - Phone:410-578-8003
Mailing Address - Fax:410-578-0029
Practice Address - Street 1:2502 W NORTHERN PKWY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-4707
Practice Address - Country:US
Practice Address - Phone:410-578-8003
Practice Address - Fax:410-578-0029
Is Sole Proprietor?:No
Enumeration Date:2019-01-16
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR147473363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health