Derek Lee Scott Williams
Nurse Practitioner - Primary Care
1308 N Glenstone Ave
Springfield
, Missouri 65802-2130
Derek Lee Scott Williams
Nurse Practitioner - Primary Care
1308 N Glenstone Ave
Springfield
, Missouri 65802-2130
(417) 234-7760
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Derek Lee Scott Williams
- 413 E Magnolia Ct
- Strafford, MO
- Zip : 65757-7527
- Phone : (417) 234-7760
Second Address
- Derek Lee Scott Williams
- 1308 N Glenstone Ave
- Springfield, MO
- Zip : 65802-2130
- Phone : (417) 832-1117
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FAQs
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Is Derek Lee Scott Williams a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 2021013081 | MO |
National Provider Identifier
| NPI | 1043896301 |
|---|---|
| Provider Name | Derek Lee Scott Williams |
| First Address | Strafford, MO 65757-7527 |
| Second Address | Springfield, MO 65802-2130 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/03/2021 |
| Last Update Date | 21/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1487001517 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.