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Individual
JAN ELAINE WILLIAMS
Active
Individual
JAN ELAINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002837A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000704681
ANTHEM
IN
05
—
201014250
—
IN
01
—
P01009929
RR MEDICARE PTAN
IN
Enumeration date
06/10/2010
Last updated
11/27/2023
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