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General NPI Number Information
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NPI Number | 1518440775
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Entity Type | Individual
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Provider Name | JONNIKA WILLIAMS DNP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 2110 N MORSON ST
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City | SAGINAW
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State | MI
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Zip | 48602-3456
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Country | US
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Telephone | 313-646-0846
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Fax |
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Provider Business Mailing Address
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Address Line | 28442 HOOVER RD APT 4
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City | WARREN
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State | MI
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Zip | 48093-5415
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Country | US
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Telephone | 248-206-9982
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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 | 4704880775
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License Number State | MI
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