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NPI Code Detail

MEDICARE: JESSICA WILLIAMS APN

MEDICARE:   JESSICA  WILLIAMS  APN
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
1363LW0102XWomen's Health Nurse Practitioner210162-2MN
2363LX0001XObstetrics & Gynecology Nurse Practitioner340MN

General Provider Information

NPI Number : 1659710887
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA WILLIAMS APN
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57117-5074
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1233 34TH ST NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-5112
Country : US
Telephone Number : 218-333-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2013
Last Update Date : 12/28/2025

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