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NPI Code Detail

MEDICARE: JAMELLA WILLIAMS NP

MEDICARE: JAMELLA WILLIAMS NP
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
1363LA2100XAcute Care Nurse PractitionerAPRN.CNP.0033341OH
2363LG0600XGerontology Nurse PractitionerAPRN.CNP.0033341OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235834607
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMELLA WILLIAMS NP
Provider Business Mailing Address
First Line : 2621 SIGSHER DR
Second Line :
City : TOLEDO
State : OH
Zip : 43615-2452
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2142 N COVE BLVD FL 1
Second Line :
City : TOLEDO
State : OH
Zip : 43606-3895
Country : US
Telephone Number : 419-291-1111
Fax Number : 419-279-3253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2023
Last Update Date : 05/04/2026

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