Individual provider · Type 1 NPI

Chanell S. Williams, DNP, FNP, ENP

Nurse Practitioner · Newark, NJ

NPI number 1114779840 Active

Practice location

150 Bergen St
Newark, NJ 07103

Mailing address

1 Clara Maass Dr
Belleville, NJ 07109-3550

Other practice locations

  • 26520 Cactus Ave, Moreno Valley, CA 92555-3927 · (951) 486-5644
  • 1 Clara Maass Dr, Belleville, NJ 07109-3550 · (973) 450-2100

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X969889 (NY)
Registered Nurse 163W00000X95295135 (CA)
Emergency Registered Nurse 163WE0003X26NR19308300 (NJ)
Family Nurse Practitioner 363LF0000X95034229 (CA)
Family Nurse Practitioner 363LF0000XF355672-01 (NY)
Nurse Practitioner Primary 363L00000X26NJ15130900 (NJ)

Nurse Practitioner: (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 wit…

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About NPI 1114779840

Chanell S. Williams, DNP, FNP, ENP's National Provider Identifier is 1114779840, issued on Apr 4, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newark, NJ. The record was last updated on Apr 23, 2025.