MISS MARIE JAQUELINE WILLIAMS NP NPI 1073550273

NPI Information

NPI: 1073550273
Provider Name: MISS MARIE JAQUELINE WILLIAMS, NP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
501 MARSHALL ST
SUITE 600
JACKSON, MS
ZIP 39202
Phone: (601) 948-6540
Get Directions

MISS Marie Jaqueline Williams, NP is an obstetrics and gynecology nurse practitioner in Jackson, MS. MISS Marie Jaqueline Williams, NP NPI is 1073550273. 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:

501 MARSHALL ST
SUITE 600
JACKSON, MS
ZIP 39202-651
Phone: (601) 948-6540
Fax: (601) 326-1501

The NPI 1073550273 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 5/31/2006 and was last updated on 6/29/2016.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	R830287	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	P01112718	OTHER		MEDICARE RAILROAD
2	P21542	MEDICARE UPIN	MISSISSIPPI
3	500000804	MEDICARE PIN	MISSISSIPPI
4	500017613	OTHER	MISSISSIPPI	RAILROAD MEDICARE
5	0123514	MEDICAID	MISSISSIPPI

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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