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MS. SHANTE TEQUILA WILLIAMS LPN
NPI 1568000412
Licensed Practical Nurse in Suffolk, VA

Active since December 11, 2019
1258 HOLLAND RD, SUFFOLK, VA 23434(757) 809-4771 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Shante Tequila Williams Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHANTE TEQUILA WILLIAMS LPN (NPI 1568000412) is an individual licensed practical nurse in Suffolk, Virginia, licensed in Virginia (0002079361) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1568000412
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. SHANTE TEQUILA WILLIAMSCredential: LPN
Location Address1258 HOLLAND RDSuffolk, VA 23434-6313
Mailing Address619 Railroad AveSuffolk, VA 23434-3923 · (757) 537-1004
Phone(757) 809-4771
Sole ProprietorYes
Enumeration DateDecember 11, 2019
✔ NPI 1568000412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in VA · 0002079361
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1258 HOLLAND RD, Suffolk, VA 23434
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY CATHERINE DILLARD
Registered Nurse
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
PATRICIA BROWN
Counselor (Addiction (Substance Use Disorder))
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
MISS TAKIMA SIMMONS LPC-R, CSAC-S
Counselor (Professional)
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (800) 805-6989
ANTOINETTE L PORTER
Counselor (Addiction (Substance Use Disorder))
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 409-4771
PHILLIP EDWARD MAYBERY CSAC
Counselor
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 439-2698
CROSSROADS TREATMENT CENTER OF SUFFOLK, PC
Clinic/Center (Methadone)
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (757) 809-4771
EBONY IRVIN CCMA
Physician Assistant (Medical)
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (877) 848-9810
BEN DRAGAN ZORN
Counselor (Addiction (Substance Use Disorder))
1258 HOLLAND RD
SUFFOLK, VA 23434
Suffolk City (800) 805-6989

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shante Williams's NPI number?

The NPI number for Shante Williams is 1568000412. It was assigned to this individual provider in the NPPES registry on December 11, 2019.

Where is Shante Williams located?

Shante Williams practices at 1258 Holland Rd, Suffolk, VA 23434. The listed phone number is (757) 809-4771.

What is Shante Williams's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shante Williams was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.