Individual
JACQUELINE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5457 TWIN KNOLLS RD STE 1048, COLUMBIA, MD 21045-3259
(104) 247-2624
(855) 733-0059
Mailing address
5457 TWIN KNOLLS ROAD, SUITE 300 #1048, COLUMBIA, MD 21045-3259
(410) 424-7262
(855) 743-0059
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R210252
MD
Other
Enumeration date
09/16/2020
Last updated
06/16/2023
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