Individual
JENNIFER D WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
5515 CLEVELAND AVE, STEVENSVILLE, MI 49127-9670
(269) 429-6604
(269) 429-1715
Mailing address
5515 CLEVELAND AVE, STEVENSVILLE, MI 49127-9670
(269) 429-6604
(269) 429-1715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704230532
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417380221
—
MI
Enumeration date
08/15/2013
Last updated
09/05/2014
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