Doctor Name: | MS. JENNIFER JANE WILLIAMS |
NPI Number: | 1487707600 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | APN0000005141 |
Business Practice Address: | 154 Blountville Bypass Blountville, TN - 376170630 |
Business Phone Number: | 4232792638 |
Business Fax Number: | 4232792727 |
Mailing Address: | Po Box 630, 154 Blountville Bypass BLOUNTVILLE |
State: | TN |
Postal Code: | 376170630 |
Phone Number: | 4232792638 |
Fax Number: | 4232792727 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LC1500X |
License Number: | APN0000005141 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |