Williams, Jan Elaine
Williams, Jan Elaine is an individual health care provider with primary practice located at 1664 W Smith Valley Rd , Greenwood IN 46142-1550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Williams, Jan Elaine can be contacted via phone (317) 887-7640.Contact Information
Primary practice address
1664 W Smith Valley Rd
Greenwood IN 46142-1550
Phone: (317) 887-7640
Fax: (317) 887-7664
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002837A | Indiana |
Profile Details
| NPI number | 1518287747 |
|---|---|
| LBN Legal business name | Williams, Jan Elaine |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2010 |
| Last updated | Nov 27th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518287747 | NPPES |
| Indiana | Other | P01009929 | RR MEDICARE PTAN |
| Indiana | Other | 000000704681 | RR MEDICARE PTAN |
| Indiana | MEDICAID | 201014250 | RR MEDICARE PTAN |
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