Williams, Jessica

Williams, Jessica is an individual health care provider with primary practice located at 180 S Main St , Canton IL 61520-2608. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Williams, Jessica can be contacted via phone (309) 647-0201.

Contact Information

Primary practice address
180 S Main St Canton IL 61520-2608
Phone: (309) 647-0201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209022690 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209022690 Illinois

Profile Details

NPI number 1588247571
LBN Legal business name Williams, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2021
Last updated Nov 24th, 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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