Individual
MRS. JENNIFER ROSE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
617 COMSTOCK RD, BERLIN, VT 05602-8294
(802) 223-2003
(802) 223-2235
Mailing address
617 COMSTOCK RD, BERLIN, VT 05602-8294
(802) 223-2003
(802) 223-2235
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
025-0009052
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025-0009052
STATE LICENSE
VT
Enumeration date
06/26/2021
Last updated
06/26/2021
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