Williams, Destiny D
Williams, Destiny D is an individual health care provider with primary practice located at 527 Medical Park Dr Ste 500 , Bridgeport WV 26330-9010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Williams, Destiny D can be contacted via phone (681) 342-3600.Contact Information
Primary practice address
527 Medical Park Dr Ste 500
Bridgeport WV 26330-9010
Phone: (681) 342-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 102949 | West Virginia |
Profile Details
| NPI number | 1609522994 |
|---|---|
| LBN Legal business name | Williams, Destiny D |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2022 |
| Last updated | Feb 24th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609522994 | NPPES |
| West Virginia | MEDICAID | 102949 |
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