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JESSICA NICOLE WILLIAMS AG-ACNP-BC NPI 1982240032


NPI Information

NPI: 1982240032
Provider Name: JESSICA NICOLE WILLIAMS, AG-ACNP-BC
Classification: Nurse Practitioner - 363L00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
725 HIGHLAND OAKS DR STE 200
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 718-6199
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Jessica Nicole Williams, AG-ACNP-BC is a nurse practitioner in Winston Salem, NC with 5 years of experience. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Jessica Nicole Williams, AG-ACNP-BC NPI is 1982240032. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 HIGHLAND OAKS DR STE 200
WINSTON SALEM, NC
ZIP 27103-109
Phone: (336) 718-6199
Fax: (336) 718-6190

The NPI 1982240032 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 11/25/2019 and was last updated on 4/8/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care5012569NORTH CAROLINANo
2363L00000XNurse Practitioner5012569NORTH CAROLINAYes

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

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