STACEY LYNN WILLIAMS (NPI# 1568028835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568028835 |
| Entity Type | Individual |
| Full Name | STACEY LYNN WILLIAMS |
| Credential | ARNP |
| Practice Address |
1361 13th Ave S Ste 150 Jacksonville Beach FL 32250-3235 |
| Mailing Address |
1361 13th Ave S Ste 140 Jacksonville Beach FL 32250-3263 |
| Practice Telephone | 9042427177 |
| Mailing Telephone | 9042427177 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11002382 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234393 | Stacey Lyn Williams | Nurse Practitioner | 1122 Gypsy Ln W, Towson, MD 21286-1404 | 2019-03-13 |
| 1083187306 | Stacey Lynn Williams | Developmental Therapist | 1822 Oak Park Ave, Berwyn, IL 60402-1708 | 2019-01-09 |
| 1629547385 | Stacey E Williams | Contractor | 2801 Montecito Dr, Denton, TX 76205-8510 | 2018-11-24 |
| 1073809489 | Stacey Williams | Doula | 852 North 2350 West, Provo, UT 84601 | 2011-06-23 |
| 1740512342 | Stacey Williams | Doula | 6212 29th Ave Ne, Seattle, WA 98115-7204 | 2010-02-05 |
| 1053426122 | Stacey Miller Williams | Social Worker | 3020 Pickett Rd, Suite 143, Durham, NC 27705-6000 | 2006-08-20 |
| 1811955768 | Stacey H Williams | Physical Therapy Assistant | 2305 Aaron St, Genesis Rehab Services River Commons, Port Charlotte, FL 33952-5346 | 2006-05-02 |
| 1790395630 | Stacey S Williams | Case Manager/Care Coordinator | 12305 Arlington Ave, Cleveland, OH 44108-2359 | 2020-08-05 |
| 1487215091 | Stacey Williams | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-06-25 |
| 1184153827 | Stacey Williams | Registered Nurse | 4747 W 24th Ave, Gary, IN 46406-2821 | 2017-06-07 |
| Street Address |
1361 13TH AVE S STE 150 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639126907 | North Florida Medical Clinic Inc | Internal Medicine | 1361 13th Ave S Ste 150, Jacksonville Beach, FL 32250-3235 | 2006-05-30 |
| 1790713964 | Harry Curtis Benson | Specialist | 1361 13th Ave S Ste 150, Jacksonville Beach, FL 32250-3235 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659932721 | Amanda Nicole Parker | Nurse Practitioner | 1107 1st St S Apt J, Jacksonville Beach, FL 32250-6539 | 2019-06-27 |
| 1427543305 | Dana Connor | Nurse Practitioner | 905 Beach Blvd Ste D, Jacksonville Beach, FL 32250-4303 | 2018-06-24 |
| 1578004479 | Kaleen Tran | Nurse Practitioner | 320 1st St N Ste 101, Jacksonville Beach, FL 32250-6956 | 2017-03-13 |
| 1326587106 | Ronda Crews | Nurse Practitioner | 1370 13th Ave S Ste 218, Jacksonville Beach, FL 32250-3206 | 2017-02-14 |
| 1942617964 | Alexandra Claire Kehres | Nurse Practitioner | 812 1st Ave N Unit 5108, Jacksonville Beach, FL 32250-4435 | 2014-07-22 |
| 1508117342 | Kimberly Barry | Nurse Practitioner | 1375 Roberts Dr Ste 205, Jacksonville Beach, FL 32250-3209 | 2012-09-19 |
| 1649565011 | Diana Rogers Bishop | Nurse Practitioner | 1375 Roberts Dr Bldg B, Jacksonville Beach, FL 32250-3210 | 2011-06-14 |
| 1871100354 | Kristin Mary Dub | Nurse Practitioner | 572 Jacksonville Dr, Jacksonville Beach, FL 32250-3813 | 2020-09-28 |
| 1932726122 | Timothy Byrd | Nurse Practitioner | 1175 23rd St N, Jacksonville Beach, FL 32250-2882 | 2020-07-03 |
| 1700357324 | Kristin Lee Gonzalez | Nurse Practitioner | 1350 13th Ave S Ste 118, Jacksonville Beach, FL 32250-3203 | 2018-12-07 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on STACEY LYNN WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.