Williams, Jacqueline Lavinia

Williams, Jacqueline Lavinia is an sole proprietor health care provider with primary practice located at 3300 Holcomb Bridge Rd Sutie 110, Norcross GA 30092-5404. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Williams, Jacqueline Lavinia can be contacted via phone (770) 449-5161.

Contact Information

Primary practice address
3300 Holcomb Bridge Rd Sutie 110 Norcross GA 30092-5404
Phone: (770) 449-5161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN261557 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN261557 Georgia

Profile Details

NPI number 1477092856
LBN Legal business name Williams, Jacqueline Lavinia
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2017
Last updated Nov 9th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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