Basic Information
| Provider Information | |||||||||
| NPI: | 1811425135 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | CHRISTALYN | ||||||||
| MiddleName: | JONES | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 BROWN SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361177005 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3342734159 | ||||||||
| FaxNumber: | 3342734556 | ||||||||
| Practice Location | |||||||||
| Address1: | 4145 CARMICHAEL RD | ||||||||
| Address2: | |||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361063657 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3342737000 | ||||||||
| FaxNumber: | 3342732228 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 1-129569 | AL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 1811425135 | 01 | AL | NPI | OTHER | P01899637 | 01 | AL | RR MEDICARE | OTHER | 511-95345 | 01 | AL | BCBS OF AL | OTHER | 511-95345 | 01 | AL | BCBS OF ALABAMA | OTHER | 202521 | 05 | AL | MEDICAID | 511-95343 | 01 | AL | BCBS OF AL | OTHER | 5569939 | 01 | AL | AETNA | OTHER | Z49054 | 01 | AL | VIVA HEALTH | OTHER | T01502A | 01 | AL | MEDICARE | OTHER |