Individual
JENNIFER L. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
201 YELLOWSTONE AVE, CODY, WY 82414-9313
(307) 527-7561
Mailing address
125 W YELLOWSTONE AVE, CODY, WY 82414-8723
(307) 527-7129
(307) 587-7394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
213
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108527100
WY MDCD PIN
WY
01
—
314481
BCBS PIN
WY
01
—
925161030924
PREFERRED ONE PIN
WY
Enumeration date
11/05/2006
Last updated
04/09/2019
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