Provider Demographics
NPI:1740530609
Name:WILLIAMS, JUNE WHITUS (RN)
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:WHITUS
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5218 VIRGINIA DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-8516
Mailing Address - Country:US
Mailing Address - Phone:281-702-6579
Mailing Address - Fax:
Practice Address - Street 1:5218 VIRGINIA DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-8516
Practice Address - Country:US
Practice Address - Phone:281-702-6579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX607946163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse