Individual
CHANELL S WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP, ENP
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103
(973) 972-2676
Mailing address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(908) 472-9609
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95295135
CA
163W00000X
Registered Nurse
969889
NY
163WE0003X
Emergency Registered Nurse
26NR19308300
NJ
363L00000X
Nurse Practitioner
Primary
26NJ15130900
NJ
363LF0000X
Family Nurse Practitioner
95034229
CA
363LF0000X
Family Nurse Practitioner
F355672-01
NY
Other
Enumeration date
04/04/2024
Last updated
04/23/2025
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