ROBERT JUDSON WILLIAMS ANP NPI 1407825987

NPI Information

NPI: 1407825987
Provider Name: ROBERT JUDSON WILLIAMS, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
7275 S SIWELL RD
JACKSON, MS
ZIP 39272
Phone: (601) 373-7722
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Robert Judson Williams, ANP is an adult health nurse practitioner in Jackson, MS. Robert Judson Williams, ANP NPI is 1407825987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7275 S SIWELL RD
JACKSON, MS
ZIP 39272-776
Phone: (601) 373-7722
Fax: (601) 373-7378

The NPI 1407825987 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 1/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	R703788	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$P	OTHER	MISSISSIPPI	BCBS - MAE
2	P00302039	OTHER	MISSISSIPPI	RR MEDICARE - FOUND
3	500028996	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	RAIL RD MEDICARE NSG HOME
4	753068151	OTHER	MISSISSIPPI	MS HEALTH PARTNERS
5	$$$$$$$$$N	OTHER	MISSISSIPPI	BCBS - CLINTON
6	R34736	MEDICARE UPIN	MISSISSIPPI
7	500001006	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	NURSING HOME PATIENTS
8	753068151	OTHER	MISSISSIPPI	MS PHYSICIANS CARE NETWOR
9	500002067	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
10	00114465	MEDICAID	MISSISSIPPI
11	753068151008	OTHER	MISSISSIPPI	TRICARE
12	168390702	OTHER	MISSISSIPPI	US DEPT OF LABOR
13	$$$$$$$$$O	OTHER	MISSISSIPPI	BCBS - DOGWOOD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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