JACQUELINE WILLIAMS (NPI# 1588270458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588270458 |
| Entity Type | Individual |
| Full Name | JACQUELINE WILLIAMS |
| Credential | NP |
| Practice Address |
7931 Brock Bridge Rd Jessup MD 20794-9704 |
| Practice Telephone | 4439007181 |
| Mailing Telephone | 4439007181 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R210252 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265992515 | Jacqueline Chanthay Williams | Licensed Practical Nurse | 1323 E Ash St, Altus, OK 73521-2908 | 2019-03-22 |
| 1205320959 | Jacqueline Denise Williams | Registered Nurse | 409 N Pacific Coast Hwy Ste 508, Redondo Beach, CA 90277-6853 | 2018-06-17 |
| 1346758745 | Jacqueline Kay Williams | Dietitian, Registered | 15008 Sendero Ln, Waco, TX 76712-7570 | 2018-01-19 |
| 1659815603 | Jacqueline Renee Williams | Nurse Practitioner | 765 Belli Dr Apt 2, Reno, NV 89502-2370 | 2016-12-10 |
| 1841648136 | Jacqueline Larae Williams | Counselor | 40 E 9th St Apt 1907, Chicago, IL 60605-2136 | 2016-05-27 |
| 1053721365 | Jacqueline Williams | Licensed Practical Nurse | 41 Broadlawn Dr, Central Islip, NY 11722-4616 | 2014-05-08 |
| 1336586791 | Jacqueline Marie Williams | Physical Therapist | 3690 Ingleside Rd, Shaker Heights, OH 44122-5056 | 2013-05-24 |
| 1801195581 | Jacqueline Williams | Social Worker | 9500 Medical Center Dr Ste 230b, Largo, MD 20774-3707 | 2011-03-21 |
| 1316160005 | Jacqueline Yvonne Williams | Social Worker | 3800 Big Bend Trl, Polk City, FL 33868-3001 | 2007-04-11 |
| 1013048537 | Jacqueline Marie Williams | Chiropractor | 418 S 2nd St, St Charles, IL 60174-2859 | 2007-03-08 |
| Street Address |
7931 BROCK BRIDGE RD |
| City | JESSUP |
| State | MD |
| Zip Code | 20794-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801399373 | Marnette Valcin | Nurse Practitioner | 7800 House of Corrections Rd, Jessup, MD 20794 | 2018-03-12 |
| 1629508478 | Maryland Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 7650 Port Capital Drive, Jessup, MD 20794 | 2017-06-14 |
| 1326446980 | Matthew Carpenter | Physician Assistant | 7805 House of Correction Rd., Jessup, MD 20794 | 2014-12-15 |
| 1053753616 | Bollman Bridge Elementary School-based Wellness Center | Clinic/Center | 8200 Savage-guilford Road, Jessup, MD 20794 | 2013-07-24 |
| 1962760199 | Mesfin T Frew | Physician Assistant | 755 Waterloo Road, Jessup, MD 20794 | 2012-04-25 |
| 1730462920 | Grady Foster Jr. | Dentist | 7804 Maryland House of Correction Road, Jessup, MD 20794 | 2011-09-23 |
| 1528211794 | Brian Byung Woo Choi | Dentist | 7800 House of Correction Road, Jessup, MD 20794 | 2008-10-31 |
| 1659315851 | Family Care Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 8610 Baltimore Washington Blvd, Suite 110, Jessup, MD 20794 | 2006-06-16 |
| 1568941797 | Motunrayo Omoloye Adegorusi | Nurse Practitioner | 7800 House of Corrections Rd, Jessup, MD 20794 | 2018-08-08 |
| 1104346006 | Charity Allwell | Registered Nurse | 7365 Cedar Ave, Jessup, MD 20794 | 2017-06-21 |
| Find all providers in zip 20794 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697533 | Brighter Days Recovery Center | Nurse Practitioner | 2439 E Lafayette Ave, Baltimore, MD 21213-2562 | 2020-10-23 |
| 1033718762 | White Plains Primary Care | Nurse Practitioner | 50 Post Office Rd Ste 304, Waldorf, MD 20602-3704 | 2020-10-23 |
| 1245839653 | Itoro Abatai | Nurse Practitioner | 9620 Maxwell Rd, Middle River, MD 21220-3792 | 2020-10-19 |
| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.