1295630127 NPI number — NIKEISHA JOYANNE WILLIAMSON PMHNP

Table of content: NIKEISHA JOYANNE WILLIAMSON PMHNP (NPI 1295630127)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295630127 NPI number — NIKEISHA JOYANNE WILLIAMSON PMHNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMSON
Provider First Name:
NIKEISHA
Provider Middle Name:
JOYANNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PMHNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WILLIAMSON-FLORIO
Provider Other First Name:
NIKEISHA
Provider Other Middle Name:
J.
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PMHNP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1295630127
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 BANKS AVE APT 1363
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROCKVILLE CENTRE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11570-6215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-945-9811
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 BANKS AVE APT 1363
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKVILLE CENTRE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11570-6215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-945-9811
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  408969 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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