Williams, Rasheda Jordan

Williams, Rasheda Jordan is an individual health care provider with primary practice located at 297 Hwy 51, Suite B , Ridgeland MS 39157. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Williams, Rasheda Jordan can be contacted via phone (601) 707-5381.

Contact Information

Primary practice address
297 Hwy 51, Suite B Ridgeland MS 39157
Fax: (601) 707-5382
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R864253 Mississippi

Profile Details

NPI number 1790072288
LBN Legal business name Williams, Rasheda Jordan
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2011
Last updated Oct 18th, 2023 - about 2 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 1790072288 NPPES
Mississippi MEDICAID 09383254
Mississippi Other R864253

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