Individual
MRS. LISA VANESA WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-9090
(973) 972-7414
Mailing address
644 PURCE ST, HILLSIDE, NJ 07205-1717
(908) 686-5786
(908) 686-2618
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00131200
NJ
363LA2100X
Acute Care Nurse Practitioner
LZ-0000127
DE
363LA2100X
Acute Care Nurse Practitioner
SP012764
PA
Other
Enumeration date
05/16/2007
Last updated
11/08/2014
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