Provider Demographics
NPI:1821887373
Name:WILLIAMS, SHARRON (MSN, RN, PMHNP)
Entity type:Individual
Prefix:
First Name:SHARRON
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:MSN, RN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 BECKER ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46320-2251
Mailing Address - Country:US
Mailing Address - Phone:708-769-0964
Mailing Address - Fax:
Practice Address - Street 1:1045 BECKER ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-2251
Practice Address - Country:US
Practice Address - Phone:708-769-0964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2025002626363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health