Individual
JESSE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 299-2597
Mailing address
PO BOX 4739, GREENVILLE, MS 38704-4739
(662) 725-2749
(662) 725-2741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
882991
MS
Other
Enumeration date
10/05/2015
Last updated
03/02/2017
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