Provider Demographics
NPI:1598363194
Name:WILLIAMS, NAKIA KEISHANEE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:NAKIA
Middle Name:KEISHANEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2645 N 3RD ST FL 1
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-2001
Mailing Address - Country:US
Mailing Address - Phone:717-782-6800
Mailing Address - Fax:717-782-6801
Practice Address - Street 1:2645 N 3RD ST FL 1
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-2001
Practice Address - Country:US
Practice Address - Phone:717-782-6800
Practice Address - Fax:717-782-6801
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022254363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily