Provider Demographics
NPI:1750925889
Name:WILLIAMS, JONI (DNP MSNED FNP-C)
Entity type:Individual
Prefix:
First Name:JONI
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DNP MSNED FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 367
Mailing Address - Street 2:
Mailing Address - City:OCEAN SHORES
Mailing Address - State:WA
Mailing Address - Zip Code:98569-0367
Mailing Address - Country:US
Mailing Address - Phone:360-200-8563
Mailing Address - Fax:
Practice Address - Street 1:557 OCEAN SHORES BLVD SW
Practice Address - Street 2:
Practice Address - City:OCEAN SHORES
Practice Address - State:WA
Practice Address - Zip Code:98569-9725
Practice Address - Country:US
Practice Address - Phone:360-200-8563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-01
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011868363LP2300X
WAAP61073937363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care