Healthcare Provider Details

I. General information

NPI: 1396372926
Provider Name (Legal Business Name): JESSICA F. WILLIAMS MD, PHD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA JOHNSTON

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST
BOSTON MA
02115-6106
US

IV. Provider business mailing address

75 FRANCIS ST
BOSTON MA
02115-6106
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-7510
  • Fax:
Mailing address:
  • Phone: 617-732-7510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0007X
TaxonomyMolecular Genetic Pathology (Pathology) Physician
License Number1019205
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number1019205
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: