Williams, Larry Jordan

Williams, Larry Jordan is an individual health care provider with primary practice located at 4724 N Davis Hwy # 100 , Pensacola FL 32503-2339. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Williams, Larry Jordan can be contacted via phone (850) 201-2421.

Contact Information

Primary practice address
4724 N Davis Hwy # 100 Pensacola FL 32503-2339
Fax: (850) 886-2235
Website:

Profile Details

NPI number 1851830558
LBN Legal business name Williams, Larry Jordan
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2017
Last updated Apr 30th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851830558 NPPES
Florida MEDICAID 021071000

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