Williams, Jennifer A

Williams, Jennifer A is an individual health care provider with primary practice located at 6320 Riverside Plaza Ln Nw Ste A, Albuquerque NM 87120-1710. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Williams, Jennifer A can be contacted via phone (505) 843-6168.

Contact Information

Primary practice address
6320 Riverside Plaza Ln Nw Ste A Albuquerque NM 87120-1710
Phone: (505) 843-6168
Fax: (505) 792-1978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 510 New Mexico
Other Service Providers / Midwife 176B00000X 510 New Mexico

Profile Details

NPI number 1043245020
LBN Legal business name Williams, Jennifer A
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 17th, 2020 - 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 1043245020 NPPES
New Mexico MEDICAID 48839884

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