Williams, Marie Jaqueline

Williams, Marie Jaqueline is an individual health care provider with primary practice located at 501 Marshall St Suite 600, Jackson MS 39202-1651. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Williams, Marie Jaqueline can be contacted via phone (601) 948-6540.

Contact Information

Primary practice address
501 Marshall St Suite 600 Jackson MS 39202-1651
Phone: (601) 948-6540
Fax: (601) 326-1501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X R830287 Mississippi

Profile Details

NPI number 1073550273
LBN Legal business name Williams, Marie Jaqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jun 29th, 2016 - about 8 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 1073550273 NPPES
Mississippi Other 500017613 RAILROAD MEDICARE
Mississippi MEDICAID 0123514 RAILROAD MEDICARE
Mississippi Other P01112718 RAILROAD MEDICARE

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