Williams, Jerry D
Williams, Jerry D is an individual health care provider with primary practice located at 130 W Van Dorn Ave , Holly Springs MS 38635-2902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Williams, Jerry D can be contacted via phone (662) 274-3212.Contact Information
Primary practice address
130 W Van Dorn Ave
Holly Springs MS 38635-2902
Phone: (662) 274-3212
Fax: (662) 274-3213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A005207 | Arkansas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 902114 | Mississippi |
Profile Details
| NPI number | 1073035168 |
|---|---|
| LBN Legal business name | Williams, Jerry D |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2017 |
| Last updated | Jul 17th, 2022 - 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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