Individual
MS. LESLIE DAWN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4740 COMMERCIAL PARK CT, CLEMMONS, NC 27012-9387
(336) 245-9521
(855) 308-2340
Mailing address
PO BOX 360, SYLVA, NC 28779-0360
(888) 339-6065
(855) 308-2340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011781
NC
363LF0000X
Family Nurse Practitioner
5011781
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871159707
—
NC
01
—
2074Z
BCBS NC
NC
01
—
330765
MEDCOST
NC
01
—
CS2424900282
CARESOURCE
NC
01
—
LX492J-AA
DEVOTED HEALTH
NC
01
—
NN8112A
MEDICARE
NC
01
—
Q00893939
RAILROAD MEDICARE
NC
Enumeration date
05/16/2019
Last updated
04/14/2025
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