Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Jerome Williams

Individual provider Pediatric Nurse Practitioner · NPI 1376299107

Benjamin Jerome Williams is a Pediatric Nurse Practitioner in Blaine, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022

Practice location Address checks out

11107 Ulysses St NE Ste 100
Blaine, MN 55434-4264
Phone: (763) 333-7733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 8281 (MN)

Record details

NPI number1376299107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing address11107 Ulysses St Ne Ste 100, Blaine, MN 55434-4264