Williams, Robert Judson
Williams, Robert Judson is an individual health care provider with primary practice located at 7275 S Siwell Rd , Jackson MS 39272-9776. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Williams, Robert Judson can be contacted via phone (601) 373-7722.Contact Information
Primary practice address
7275 S Siwell Rd
Jackson MS 39272-9776
Phone: (601) 373-7722
Fax: (601) 373-7378
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | R703788 | Mississippi |
Profile Details
NPI number | 1407825987 |
---|---|
LBN Legal business name | Williams, Robert Judson |
Credentials | Adult Nurse Practitioner (ANP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2006 |
Last updated | Jan 25th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407825987 | NPPES |
Mississippi | Other | 753068151 | MS PHYSICIANS CARE NETWOR |
Mississippi | Other | 168390702 | MS PHYSICIANS CARE NETWOR |
Mississippi | Other | 753068151 | MS PHYSICIANS CARE NETWOR |
Mississippi | Other | P00302039 | MS PHYSICIANS CARE NETWOR |
Mississippi | MEDICAID | 00114465 | MS PHYSICIANS CARE NETWOR |
Mississippi | Other | 753068151008 | MS PHYSICIANS CARE NETWOR |
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