KATHLENE WILLIAMSON C.F.N.P. NPI 1457357063

NPI Information

NPI: 1457357063
Provider Name: KATHLENE WILLIAMSON, C.F.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
5903 RIDGEWOOD ROAD
SUITE 440
JACKSON, MS
ZIP 39211
Phone: (601) 899-3989
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Kathlene Williamson, C.F.N.P. is a family nurse practitioner in Jackson, MS. Kathlene Williamson, C.F.N.P. NPI is 1457357063. 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:

5903 RIDGEWOOD ROAD
SUITE 440
JACKSON, MS
ZIP 39211-702
Phone: (601) 899-3989
Fax: (601) 899-3504

The enumeration date for this NPI number is 6/28/2005 and was last updated on 4/5/2012.

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	363L00000X	Nurse Practitioner		APN13944	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	R530719	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	S89095	MEDICARE UPIN
2	500001699	MEDICARE ID-TYPE UNSPECIFIED	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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