DEREK LEE SCOTT WILLIAMS APRN NPI 1043896301

NPI Information

NPI: 1043896301
Provider Name: DEREK LEE SCOTT WILLIAMS, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
1308 N GLENSTONE AVE
SPRINGFIELD, MO
ZIP 65802
Phone: (417) 832-1117
Get Directions

Derek Lee Scott Williams, APRN is a primary care nurse practitioner in Springfield, MO. Derek Lee Scott Williams, APRN NPI is 1043896301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1308 N GLENSTONE AVE
SPRINGFIELD, MO
ZIP 65802-130
Phone: (417) 832-1117

The enumeration date for this NPI number is 3/18/2021 and was last updated on 4/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	2021013081	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1487001517	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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