Mr. Dustin Williams
Nurse Practitioner - Primary Care
7487 S State Road 121
Macclenny
, Florida 32063-5451
Mr. Dustin Williams
Nurse Practitioner - Primary Care
7487 S State Road 121
Macclenny
, Florida 32063-5451
(904) 219-5280
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mr. Dustin Williams
- 6514 Home Again Ln
- Macclenny, FL
- Zip : 32063-5348
- Phone : (904) 219-5280
Second Address
- Mr. Dustin Williams
- 7487 S State Road 121
- Macclenny, FL
- Zip : 32063-5451
- Phone : (904) 259-6211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 9237452 | FL |
National Provider Identifier
| NPI | 1033625991 |
|---|---|
| Provider Name | Mr. Dustin Williams |
| First Address | Macclenny, FL 32063-5348 |
| Second Address | Macclenny, FL 32063-5451 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2017 |
| Last Update Date | 14/12/2017 |
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.