Individual
JESSICA NICOLE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
2025 FRONTIS PLAZA BLVD STE 100, WINSTON SALEM, NC 27103-5663
(336) 718-6199
(336) 719-6190
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-6199
(336) 718-6190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012569
NC
363LA2100X
Acute Care Nurse Practitioner
5012569
NC
Other
Enumeration date
11/25/2019
Last updated
07/29/2024
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