Provider Demographics
NPI:1821803578
Name:WILLIAMS, OYINKANSOLA (NP)
Entity type:Individual
Prefix:
First Name:OYINKANSOLA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:NP
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 34
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-0034
Mailing Address - Country:US
Mailing Address - Phone:240-437-4920
Mailing Address - Fax:240-437-4877
Practice Address - Street 1:10632 LITTLE PATUXENT PKWY STE 330
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-6299
Practice Address - Country:US
Practice Address - Phone:240-437-4920
Practice Address - Fax:240-437-4877
Is Sole Proprietor?:No
Enumeration Date:2025-02-10
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD2024095378363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health