Individual
MS. DEVELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN MSN FNP BC
Contact information
Practice address
16177 HESPERIAN BLVD STE C, SAN LORENZO, CA 94580-2451
(510) 276-5558
(510) 276-5646
Mailing address
1667 BEDFORD CT, COLUMBIA, CA 29223-5536
(803) 309-8723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1516
SC
363LF0000X
Family Nurse Practitioner
Primary
23232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10574146
AACN
CA
01
—
1516
STATE LICENSE APRN 1516
SC
01
—
23232
NP CERTIFICATE
CA
Enumeration date
05/14/2007
Last updated
11/04/2024
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