Williams, Jaqueta Antanina

Williams, Jaqueta Antanina is an individual health care provider with primary practice located at 11141 Ryder Rd , Jurupa Valley CA 91752-5098. 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 / Family is her primary health care specialty. Williams, Jaqueta Antanina can be contacted via phone (314) 322-7627.

Contact Information

Primary practice address
11141 Ryder Rd Jurupa Valley CA 91752-5098
Phone: (314) 322-7627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F35407201 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 872356 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95006450 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F405824 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X TELE310454 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2017014619 Missouri

Profile Details

NPI number 1952830168
LBN Legal business name Williams, Jaqueta Antanina
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2017
Last updated Jul 31st, 2026 - about 4 months 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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