MRS. JACQUELIN MICHELE WILLIAMS (NPI# 1902376296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902376296 |
Entity Type | Individual |
Full Name | MRS. JACQUELIN MICHELE WILLIAMS |
Credential | FNP-C |
Practice Address |
115 W Liberty St Salisbury NC 28144-4332 |
Mailing Address |
4535 Dressler Rd Nw Canton OH 44718-2545 |
Practice Telephone | 9802300902 |
Mailing Telephone | 8008280898 |
Enumeration Date | 2018-11-28 |
Last Update Date | 2020-10-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 189227 | NC | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
189227 | NC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5011208 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
115 W Liberty St, Salisbury, NC 281444332 | 9802300902 | |
920 Church St N, Concord, NC 280252927 | 9802300902 |
Street Address |
115 W LIBERTY ST |
City | SALISBURY |
State | NC |
Zip Code | 28144-4332 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679059364 | Lisbet Lopez Cherniavsky | Dentist | Salisbury Family Dentistry, 140 Mahaley Ave, Salisbury, NC 28144 | 2018-07-16 |
1386140945 | Rowan Regional Medical Center, Inc. | Hospice Care, Community Based | 1229 Statesville Blvd, Salisbury, NC 28144 | 2018-04-03 |
1184142713 | Ally Home Care Salisbury, LLC | In Home Supportive Care | 301 S Main St Suite 120, Salisbury, NC 28144 | 2017-09-04 |
1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
1043677727 | Concepts of Independence LLC. | Residential Treatment Facility, Emotionally Disturbed Children | 530 E. Fisher Street, Salisbury, NC 28144 | 2016-01-26 |
1801279138 | Tara Puma | Speech-Language Pathologist | 1630 Bellevue Rd, Salisbury, NC 28144 | 2015-07-06 |
1285012534 | Stephanie Georgia Pierce | Counselor | 714 South Main Street, S&h Youth and Adult Services, Inc., Salisbury, NC 28144 | 2015-05-07 |
1598177248 | Jeffrey Carter | Counselor | 107 W Cemetary St., Salisbury, NC 28144 | 2014-05-29 |
1659631786 | Mary Frances Miller | Nurse Practitioner | 1601 Brenner Avenue Endocrinology Bldg(21), Us Dept. of Veteran Affairs W.g.(bill)hefner Bldg, Salisbury, NC 28144 | 2012-05-23 |
1699041244 | Matthew Lewis Marshburn | Specialist/Technologist | 605 Grove Street, Salisbury, NC 28144 | 2012-03-28 |
Find all providers in zip 28144 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891347761 | Craig Mullen | Nurse Practitioner | 436 Rolling Rd, Salisbury, MD 21801-7115 | 2019-07-11 |
1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
1205496452 | Priscilla Afram Debrah | Nurse Practitioner | 106 Milford St Ste 503, Salisbury, MD 21804-6958 | 2019-06-19 |
1801375498 | Jennifer Hart | Nurse Practitioner | 1101 Camden Ave # Dh240, Salisbury, MD 21801-6860 | 2018-08-14 |
1073006862 | Jonathan Andrews | Nurse Practitioner | 1201 Pemberton Dr Ste 2a, Salisbury, MD 21801-2501 | 2018-06-07 |
1174050447 | Melody Jean Evans | Nurse Practitioner | 145 E Carroll St Ste 101102, Salisbury, MD 21801 | 2017-05-17 |
1710380621 | Traci Ann Church | Nurse Practitioner | 1325 Mount Hermon Rd Ste 9a, Salisbury, MD 21804 | 2014-10-06 |
1891124608 | Lauren Moore | Nurse Practitioner | 100 E Carroll St Ste 301&406, Salisbury, MD 21801-5422 | 2013-11-02 |
1033465166 | Patricia Maria Morales | Nurse Practitioner | 5584 King Stuart Dr, Salisbury, MD 21801-2358 | 2012-07-26 |
1871874198 | Affinity Services LLC | Nurse Practitioner | 6062 Bridle Ct, Salisbury, MD 21801-1715 | 2011-08-31 |
Find all providers in SALISBURY |
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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.