CARLLISA WILLIAMS RN NPI 1124515440

NPI Information

  • NPI: 1124515440
  • Provider Name: CARLLISA WILLIAMS, RN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 856 POYDRAS LN W
    JACKSONVILLE, FL
    ZIP 32218
  • Phone: (904) 502-4851

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NPI Details

Carllisa Williams, RN is a family nurse practitioner in Jacksonville, FL. Carllisa Williams, RN NPI is 1124515440. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

856 POYDRAS LN W
JACKSONVILLE, FL
ZIP 32218-694
Phone: (904) 502-4851

The NPI 1124515440 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/23/2018 and was last updated on 12/1/2022.

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
1163W00000XRegistered NurseRN9438927FLORIDANo
2251J00000XNursing CareNo
3363LF0000XNurse PractitionerFamilyAPRN11022415FLORIDAYes

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: 11/21/2025

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