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General NPI Number Information
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NPI Number | 1306300553
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Entity Type | Individual
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Provider Name | JESSICA N WILLIAMS FNP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2019
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 1200 N ELM ST
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City | GREENSBORO
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State | NC
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Zip | 27401-1004
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Country | US
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Telephone | 336-832-8579
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Fax |
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Provider Business Mailing Address
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Address Line | 119 S MERRITT MILL RD
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City | CHAPEL HILL
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State | NC
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Zip | 27516-2329
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Country | US
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Telephone | 919-265-8037
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5011384
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 247096
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License Number State | NC
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