Provider Demographics
NPI:1952126419
Name:WILLIAMS, ADRIANNA LIN (DNP FNP-BC)
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:LIN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DNP FNP-BC
Other - Prefix:
Other - First Name:ADRIANNA
Other - Middle Name:LIN
Other - Last Name:LOBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:411 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:GIBSON CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60936-1118
Mailing Address - Country:US
Mailing Address - Phone:815-419-7733
Mailing Address - Fax:
Practice Address - Street 1:1120 N MELVIN ST
Practice Address - Street 2:
Practice Address - City:GIBSON CITY
Practice Address - State:IL
Practice Address - Zip Code:60936-1477
Practice Address - Country:US
Practice Address - Phone:217-784-4251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209030872363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily