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Individual

DR. JACQUELYN COUNTS WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3521 DEL REY BLVD STE B, LAS CRUCES, NM 88012-7708
(575) 522-7260
Mailing address
3521 DEL REY BLVD STE B, LAS CRUCES, NM 88012-7708
(575) 522-7260
(575) 522-1355

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R28880
NM
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
R28880
NM

Other

Enumeration date
06/27/2007
Last updated
07/21/2022
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