Jessica Nicole Williams, AG-ACNP-BC
Nurse Practitioner in Winston Salem, NC. Individual provider (NPI-1).
NPI number1982240032
StatusActive
Last updated in NPPESJul 29, 2024
Details
- NPI
- 1982240032
- Entity type
- Individual (NPI-1)
- Name
- Jessica Nicole Williams
- Credential
- AG-ACNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 25, 2019
- Certification date
- Jul 29, 2024
- Last updated
- Jul 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5012569 | NC | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | 5012569 | NC |
Practice location
2025 Frontis Plaza Blvd Ste 100Winston Salem, NC 27103-5663
Phone 336-718-6199 · Fax 336-719-6190
Mailing address
Po Box 751803Charlotte, NC 28275-1803
Phone 336-718-6199 · Fax 336-718-6190
Other practice locations
1 Medical Center Blvd
Winston Salem, NC 27157-0001
Winston Salem, NC 27157-0001
Phone 336-716-6674
725 Highland Oaks Dr Ste 200
Winston Salem, NC 27103-7109
Winston Salem, NC 27103-7109
Phone 336-718-6199 · Fax 336-718-6190
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