Individual
DR. JACOB RYAN WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 273-8224
Mailing address
5809 SW 12TH ST, TOPEKA, KS 66604-2597
(409) 718-7589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-161414-031
KS
163W00000X
Registered Nurse
875482
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
43-558146-031
KS
Other
Enumeration date
06/23/2023
Last updated
09/20/2023
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