Individual
KATHLENE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
5903 RIDGEWOOD ROAD, SUITE 440, JACKSON, MS 39211-3702
(601) 899-3989
(601) 899-3504
Mailing address
PO BOX 24023, DEPT #03-054, JACKSON, MS 39225-4023
(601) 899-3989
(601) 899-3504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN13944
TN
363LF0000X
Family Nurse Practitioner
Primary
R530719
MS
Other
Enumeration date
06/28/2005
Last updated
04/05/2012
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