| Doctor Name: | MRS. ELAINE WILLIAMSON |
| NPI Number: | 1225421472 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P.-C |
| License Number: | 0024172415 |
| Business Practice Address: | 5784 Virginia Ave Bassett, VA - 240553879 |
| Business Phone Number: | 2766667749 |
| Business Fax Number: | 2766275022 |
| Mailing Address: | 441 Piney Forest Rd Ste G, DANVILLE |
| State: | VA |
| Postal Code: | 245404154 |
| Phone Number: | 4347930700 |
| Fax Number: | 4347939315 |
| NPI Enumeration Date: | 03/12/2015 |
| NPI Last Update Date: | 10/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024172415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |