Williams, Jennifer Jean

Williams, Jennifer Jean is an individual health care provider with primary practice located at 300 E. Hospital Road Room 13A-10 , Ft Gordon GA 30905-5650. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Williams, Jennifer Jean can be contacted via phone (706) 787-1380.

Contact Information

Primary practice address
300 E. Hospital Road Room 13A-10 Ft Gordon GA 30905-5650
Phone: (706) 787-1380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904000613 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13251 South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW003383 Georgia

Profile Details

NPI number 1326218363
LBN Legal business name Williams, Jennifer Jean
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Mar 23rd, 2023 - about 2 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 1326218363 NPPES
Virginia MEDICAID 8914290

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