DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERRICK LANE WILLIAMS, RN, APRN, ACNP

Active Sole Proprietor

DERRICK LANE WILLIAMS, RN, APRN, ACNP is a Nurse Practitioner healthcare provider located in FORT WAYNE, Indiana. NPI 1922333194 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · FORT WAYNE, IN

Registration Details

NPI Number
1922333194
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2009 (16.87998134665 yrs)
Last Updated
Sep 2, 2014
Licenses
28139511A (IN)
71003104A (IN)
Sole Proprietor
Yes

Practice Information

Address
7950 W JEFFERSON BLVD
FORT WAYNE, IN, 468044140
Browse IN providers · Browse ZIP 46804
Phone
2602039600
Fax
2607396167
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in FORT WAYNE, IN

Name Credential NPI
KAREN E. SPRINGER NP 1225035421
BEATRICE K TROXELL NP 1376542126
REGINALD L HUMPHREY NP 1619978178
JOYCE A FISHER NP 1962404392
VALERIE L STUCKY NP 1750373601
VICKI L BAHLS NP 1619962198
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.