Provider Demographics
NPI:1043108640
Name:WILLIAMS, KRISTI SHANTEL DENISE (FNP-BC)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:SHANTEL DENISE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3790 MOSS DR APT B
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4364
Mailing Address - Country:US
Mailing Address - Phone:601-339-0865
Mailing Address - Fax:
Practice Address - Street 1:3790 MOSS DR APT B
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4364
Practice Address - Country:US
Practice Address - Phone:601-339-0865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program