Individual
JESSICA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
842 HIGHWAY 15 N, JACKSON, KY 41339
(606) 666-7060
Mailing address
PO BOX 931, JACKSON, KY 41339-0931
(606) 666-7060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014566
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54000005
—
KY
Enumeration date
02/15/2016
Last updated
02/15/2016
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