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NPI Code Detail

MEDICARE: JESSICA WILLIAMS

MEDICARE:   JESSICA  WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1215636493
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA WILLIAMS
Provider Business Mailing Address
First Line : 6113 HIGH PLAINS RD
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-7255
Country : US
Telephone Number : 469-207-5789
Fax Number :
Provider Business Practice Location Address
First Line : 755 S TELSHOR BLVD STE 201B
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-3647
Country : US
Telephone Number : 505-974-5890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2023
Last Update Date : 09/20/2025

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Directions to “ JESSICA WILLIAMS ” Practice Location

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