Individual
JASON WAYNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN,MSN, TCRN, FNP-BC
Contact information
Practice address
480 SW MAIN BLVD, LAKE CITY, FL 32025-5269
(386) 348-5310
Mailing address
480 SW MAIN BLVD, LAKE CITY, FL 32025-5269
(386) 348-5310
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN 9168887
FL
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9168887
FL
363LF0000X
Family Nurse Practitioner
APRN11046258
FL
Other
Enumeration date
01/31/2008
Last updated
04/04/2026
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