Provider Demographics
NPI:1760052146
Name:WILLIAMS, VERONICA (FNP)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4310 INDIAN RIVER RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23325-3100
Mailing Address - Country:US
Mailing Address - Phone:757-927-0313
Mailing Address - Fax:757-921-8003
Practice Address - Street 1:4310 INDIAN RIVER RD STE 1A
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23325-3100
Practice Address - Country:US
Practice Address - Phone:757-927-0313
Practice Address - Fax:757-921-8003
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2025-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181165363LP0808X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health