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Derrick Lane Williams, RN,APRN,ACNP
Nurse Practitioner in Fort Wayne, Indiana
NPI 1922333194

Derrick Lane Williams is a Nurse Practitioner based in Fort Wayne, IN. Derrick Lane Williams practices in Fort Wayne, IN and has the professional credentials of RN,APRN,ACNP. The NPI Number for Derrick Lane Williams is 1922333194 and holds a License No. 28139511A (Indiana).

The current practice location address for Derrick Lane Williams is 7950 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-203-9600 and via fax at 260-739-6167. You can also correspond with Derrick Lane Williams through the mailing address at 10351 DAWSONS CREEK BLVD, FORT WAYNE, IN - 46825-1904 (mailing address contact number: 260-203-9600).

Location: 7950 W Jefferson Blvd, Fort Wayne, IN, 46825-1904
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922333194
Provider Name
Derrick Lane Williams
Credential
RN,APRN,ACNP
Provider Entity Type
Individual
Gender
Male
Address
7950 W Jefferson Blvd, Fort Wayne, IN, 46825-1904
Phone Number
260-203-9600
Fax Number
260-739-6167
Provider Enumeration Date
10/06/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200972030 05 IN
institution
Provider Business Practice Location Address Details
Address
7950 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4140
Phone Number
260-203-9600
Fax Number
260-739-6167
person
Provider Business Mailing Address Details
Address
7950 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4140
Phone Number
260-203-9600
Fax Number
260-739-6167
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71003104A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
28139511A (Indiana)
Definition
Definition to come...
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