Provider Demographics
NPI:1225901507
Name:BRYAN-WILLIAMSON, STORM KAY (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:STORM
Middle Name:KAY
Last Name:BRYAN-WILLIAMSON
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 ROCK MERRITT AVE
Mailing Address - Street 2:BLDG 4-3219
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-907-6190
Mailing Address - Fax:910-907-8521
Practice Address - Street 1:2817 ROCK MERRITT AVE
Practice Address - Street 2:BLDG 4-3219
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-6190
Practice Address - Fax:910-907-8521
Is Sole Proprietor?:No
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC121372163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management