| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CAROL LYNN WILLIAMS | 1063783066 | 2023-11-10 |
Carol Lynn Williams is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063783066. Registration indicates Carol Lynn Williams is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mrs. Carol Lynn Williams RN, MSN-FNP |
| Practice Office Address | 1144 65TH ST STE F OAKLAND, CA US |
| Practice Office Telephone | 5109291400 |
| Practice Office Fax | 5109291414 |
| Mailing Address | PO BOX 511250 LOS ANGELES, CA 900517805 US |
| Business Telephone | 5109291400 |
| Business Fax | 5109291414 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 841 Blossom Hill Rd Suite 209 | San Jose, CA 951232704 | 4083636533 / 4087843453 |
| 1720 S Bascom Ave | Campbell, CA 950080608 | 4086371619 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 784478
CA |
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 95002798
CA |
| 95002798 | OTHER | CA | BRN |