Individual
ROBERT JUDSON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
7275 S SIWELL RD, JACKSON, MS 39272-9776
(601) 373-7722
(601) 373-7378
Mailing address
1151 N STATE ST, SUITE 408, JACKSON, MS 39202-2407
(601) 373-7722
(601) 373-7378
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R703788
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114465
—
MS
01
—
168390702
US DEPT OF LABOR
MS
01
—
753068151
MS PHYSICIANS CARE NETWOR
MS
01
—
753068151008
TRICARE
MS
01
—
P00302039
RR MEDICARE - FOUND
MS
Enumeration date
03/16/2006
Last updated
01/25/2012
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