JERRY WILLIAMS FNP-BC NPI 1538618145

NPI Information

NPI: 1538618145
Provider Name: JERRY WILLIAMS, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1340 BROAD AVE STE 300
GULFPORT, MS
ZIP 39501
Phone: (228) 575-2700
Get Directions

Jerry Williams, FNP-BC is a family nurse practitioner in Gulfport, MS. Jerry Williams, FNP-BC NPI is 1538618145. 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:

1340 BROAD AVE STE 300
GULFPORT, MS
ZIP 39501-404
Phone: (228) 575-2700
Fax: (228) 575-2710

The NPI 1538618145 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2016 and was last updated on 7/22/2020.

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	363LF0000X	Nurse Practitioner	Family	APN0000021599	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	903695	MISSISSIPPI	Yes

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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