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1427317585

NPI Code Detail

MEDICARE: DR. JESSICA WHICKER WILLIAMS M.D.

MEDICARE: DR. JESSICA WHICKER WILLIAMS M.D.

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
1	2084N0400X	Neurology Physician	036.140687	IL
2	2084N0400X	Neurology Physician	14066A	WY
3	390200000X	Student in an Organized Health Care Education/Training Program
4	2084N0400X	Neurology Physician	DR.0058578	CO

Other Identifiers

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

General Provider Information

NPI Number	:	1427317585
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JESSICA WHICKER WILLIAMS M.D.

Provider Business Mailing Address
First Line	:	2315 E HARMONY RD STE 110
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-8623
Country	:	US
Telephone Number	:	970-495-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2315 E HARMONY RD STE 110
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-8623
Country	:	US
Telephone Number	:	970-495-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2012
Last Update Date	:	11/07/2022

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Directions to “ DR. JESSICA WHICKER WILLIAMS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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