Williams-Jackson, Kameela E

Williams-Jackson, Kameela E is an sole proprietor health care provider with primary practice located at 5653 Frist Blvd Suite 630, Hermitage TN 37076-2062. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Williams-Jackson, Kameela E can be contacted via phone (615) 391-3971.

Contact Information

Primary practice address
5653 Frist Blvd Suite 630 Hermitage TN 37076-2062
Phone: (615) 391-3971
Fax: (615) 232-3899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 18127 Tennessee

Profile Details

NPI number 1790113595
LBN Legal business name Williams-Jackson, Kameela E
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2013
Last updated Sep 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790113595 NPPES
Tennessee MEDICAID Q011292

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