Individual
STEPHANIE M WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4126
(321) 639-5787
(321) 639-5762
Mailing address
2575 N COURTENAY PKWY, MERRITT ISLAND, FL 32953-4126
(321) 639-5787
(321) 639-5762
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5166592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN5166592
LICENSE NUMBER
FL
Enumeration date
05/11/2007
Last updated
07/08/2007
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