Jillian Williamson
Nurse Practitioner, Family in Albert Lea, MN. Individual provider (NPI-1).
NPI number1720752249
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1720752249
- Entity type
- Individual (NPI-1)
- Name
- Jillian Williamson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2021
- Certification date
- Aug 31, 2021
- Last updated
- Sep 30, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 7865 | MN | Yes |
Practice location
404 W Fountain StAlbert Lea, MN 56007-2437
Phone 507-668-2041
Mailing address
404 W Fountain StAlbert Lea, MN 56007-2437
Phone 507-373-2384
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Family Nurse Practitioner providers in Albert Lea · All 411 providers in Albert Lea
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