Individual
JESSICA ROSE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8200 FLOURTOWN AVE, WYNDMOOR, PA 19038-7976
(215) 836-5012
Mailing address
8200 FLOURTOWN AVE, WYNDMOOR, PA 19038-7976
(215) 836-5012
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP014394
PA
363LG0600X
Gerontology Nurse Practitioner
SP014394
PA
363LP2300X
Primary Care Nurse Practitioner
SP014394
PA
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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