Williams, Stacy Jo

Williams, Stacy Jo is an individual health care provider with primary practice located at 5601 J St , Sacramento CA 95819-3948. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williams, Stacy Jo can be contacted via phone (916) 454-5922.

Contact Information

Primary practice address
5601 J St Sacramento CA 95819-3948
Phone: (916) 454-5922
Fax: (916) 454-2156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04348 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA19518 California

Profile Details

NPI number 1629031984
LBN Legal business name Williams, Stacy Jo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 16th, 2014 - about 11 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 1629031984 NPPES
Texas Other 8N8996 BLUE SHIELD
Texas Other P00269387 BLUE SHIELD

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