Provider Demographics
NPI:1598721862
Name:WILLIAMS, PATRICIA CAVE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:CAVE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5504 SW 84TH LN
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-8507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 MEADOWS PKWY STE B
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-8759
Practice Address - Country:US
Practice Address - Phone:912-454-7012
Practice Address - Fax:866-871-8565
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9234394163WX0200X, 363L00000X
GARN232850363L00000X
VT101.0134288363L00000X
NH080653-23363L00000X
TN28175363L00000X
GA9234394363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WX0200XNursing Service ProvidersRegistered NurseOncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ069009Medicaid
VT6700436Medicaid
NH3116763Medicaid
FLP00468065OtherRAILROAD MEDICARE