Individual provider · Type 1 NPI
Blake McCullough Williams, FNP
Primary Care Nurse Practitioner · Columbus, OH
NPI number
1396363438
Active
Practice location
4200 Regent St Ste 200
Columbus, OH 43219-6229
Fax (614) 968-8840
Mailing address
435 Williams Hill Rd
Pitkin, LA 70656-5762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 214331 (LA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1396363438
Blake McCullough Williams, FNP's National Provider Identifier is 1396363438, issued on Jul 6, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Columbus, OH. The record was last updated on Dec 1, 2025.