Individual
MRS. JESSICA LAINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 BRYAN DR STE 208, DURANT, OK 74701-2157
(580) 920-9063
Mailing address
1514 FELICE LN, DURANT, OK 74701-7449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216889
OK
Other
Enumeration date
04/09/2024
Last updated
06/19/2024
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