Individual
JAMIE MICHELLE WILLIAMS
Active
Individual
JAMIE MICHELLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C02762
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518194828
TRICARE / CHAMPUS
—
01
—
5R489
BCBS
AR
01
—
P00726875
PGBA RR MEDICQRE
—
Enumeration date
06/12/2009
Last updated
04/28/2020
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