Doctor Name: | JANE WILLIAMSON |
NPI Number: | 1164625059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 218003 |
Business Practice Address: | 43 Hawkes St # No.3 Marblehead, MA - 019453142 |
Business Phone Number: | 7816390244 |
Business Fax Number: | |
Mailing Address: | 43 Hawkes St # No.3, MARBLEHEAD |
State: | MA |
Postal Code: | 019453142 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 218003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |