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General NPI Number Information
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NPI Number | 1790113595
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Entity Type | Individual
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Provider Name | KAMEELA E WILLIAMS-JACKSON APN
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Gender | Female
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Dates
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Enumeration Date | 10/15/2013
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 5653 FRIST BLVD SUITE 630
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City | HERMITAGE
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State | TN
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Zip | 37076-2062
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Country | US
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Telephone | 615-391-3971
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Fax | 615-232-3899
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Provider Business Mailing Address
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Address Line | 222 22ND AVE N SUITE 100
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City | NASHVILLE
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State | TN
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Zip | 37203-1852
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Country | US
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Telephone | 615-284-2222
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 18127
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 18127
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License Number State | TN
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