Williams, Robert Judson

Williams, Robert Judson is an individual health care provider with primary practice located at 7275 S Siwell Rd , Jackson MS 39272-9776. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Williams, Robert Judson can be contacted via phone (601) 373-7722.

Contact Information

Primary practice address
7275 S Siwell Rd Jackson MS 39272-9776
Phone: (601) 373-7722
Fax: (601) 373-7378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R703788 Mississippi

Profile Details

NPI number 1407825987
LBN Legal business name Williams, Robert Judson
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 25th, 2012 - about 14 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 1407825987 NPPES
Mississippi Other 753068151 MS PHYSICIANS CARE NETWOR
Mississippi Other 168390702 MS PHYSICIANS CARE NETWOR
Mississippi Other 753068151 MS PHYSICIANS CARE NETWOR
Mississippi Other P00302039 MS PHYSICIANS CARE NETWOR
Mississippi MEDICAID 00114465 MS PHYSICIANS CARE NETWOR
Mississippi Other 753068151008 MS PHYSICIANS CARE NETWOR

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