Provider Demographics
NPI:1629963848
Name:WILLIAMS, JAMES TAYLOR (RN)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:TAYLOR
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:698 SHROPSHIRE LOOP
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-5420
Mailing Address - Country:US
Mailing Address - Phone:407-314-0750
Mailing Address - Fax:
Practice Address - Street 1:698 SHROPSHIRE LOOP
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-5420
Practice Address - Country:US
Practice Address - Phone:407-314-0750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9493413163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse