Individual
MRS. CHIQUITA VONDETTA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12689 NW COPPER CREEK DR, PORT SAINT LUCIE, FL 34987-3008
(919) 454-4898
Mailing address
12689 NW COPPER CREEK DR, PORT SAINT LUCIE, FL 34987-3008
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9562809
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11046737
FL
Other
Enumeration date
07/29/2024
Last updated
04/13/2026
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