Williams, Jennifer Waters

Williams, Jennifer Waters is an sole proprietor health care provider with primary practice located at 878 Country Club Rd , Rocky Mount NC 27804-1707. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Williams, Jennifer Waters can be contacted via phone (252) 314-7021.

Contact Information

Primary practice address
878 Country Club Rd Rocky Mount NC 27804-1707
Phone: (252) 314-7021
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4038 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1388 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4038 North Carolina

Profile Details

NPI number 1275641664
LBN Legal business name Williams, Jennifer Waters
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2006
Last updated Jan 19th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275641664 NPPES
North Carolina Other 1427010578 MEDICARE
North Carolina Other 2826021 MEDICARE
North Carolina Other 561396133 MEDICARE
North Carolina Other 561396133 MEDICARE
North Carolina Other 015WA MEDICARE
North Carolina Other 561396133 MEDICARE
North Carolina Other 561396133 MEDICARE

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