Williams, Jan Elaine

Williams, Jan Elaine is an individual health care provider with primary practice located at 1664 W Smith Valley Rd , Greenwood IN 46142-1550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Williams, Jan Elaine can be contacted via phone (317) 887-7640.

Contact Information

Primary practice address
1664 W Smith Valley Rd Greenwood IN 46142-1550
Phone: (317) 887-7640
Fax: (317) 887-7664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71002837A Indiana

Profile Details

NPI number 1518287747
LBN Legal business name Williams, Jan Elaine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2010
Last updated Nov 27th, 2023 - about last year

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 1518287747 NPPES
Indiana Other P01009929 RR MEDICARE PTAN
Indiana Other 000000704681 RR MEDICARE PTAN
Indiana MEDICAID 201014250 RR MEDICARE PTAN

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