MRS. JACQUELIN MICHELE WILLIAMS


Address: 115 W Liberty St, Salisbury, NC 28144-4332
Phone: 9802300902

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
115 W Liberty St, Salisbury, NC 281444332 9802300902
920 Church St N, Concord, NC 280252927 9802300902

Office Location

Street Address 115 W LIBERTY ST
City SALISBURY
State NC
Zip Code 28144-4332

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1801279138 Tara Puma Speech-Language Pathologist 1630 Bellevue Rd, Salisbury, NC 28144 2015-07-06
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1801375498 Jennifer Hart Nurse Practitioner 1101 Camden Ave # Dh240, Salisbury, MD 21801-6860 2018-08-14
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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
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Competitor

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City SALISBURY
Zip Code 28144

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Dataset Information

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.

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