ROBERT JUDSON WILLIAMS


Address: 7275 S Siwell Rd, Jackson, MS 39272-9776
Phone: 6013737722

ROBERT JUDSON WILLIAMS (NPI# 1407825987) 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) 1407825987
Entity Type Individual
Full Name ROBERT JUDSON WILLIAMS
Credential ANP
Practice Address 7275 S Siwell Rd
Jackson
MS 39272-9776
Mailing Address 1151 N State St
Suite 408
Jackson
MS 39202-2407
Practice Telephone 6013737722
Practice Fax Number 6013737378
Mailing Telephone 6013737722
Mailing Fax Number 6013737378
Enumeration Date 2006-03-16
Last Update Date 2012-01-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R703788 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS TRICARE 753068151008 01
MS US DEPT OF LABOR 168390702 01
MS 00114465 05
MS MS HEALTH PARTNERS 753068151 01
MS MS PHYSICIANS CARE NETWOR 753068151 01
MS RR MEDICARE - FOUND P00302039 01

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Office Location

Street Address 7275 S SIWELL RD
City JACKSON
State MS
Zip Code 39272-9776

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588632467 Douglas L Yeager Family Medicine 7275 S Siwell Rd, Jackson, MS 39272-9776 2006-03-08
1093172157 Sarah Joanna Mason Physician Assistant 7275 S Siwell Rd, Jackson, MS 39272-9776 2016-01-20
1134249253 Medical Foundation of Central Mississippi, Inc Family Medicine 7275 S Siwell Rd, Jackson, MS 39272-9776 2007-03-30
1902874571 William Keith Harris Family Medicine 7275 S Siwell Rd, Jackson, MS 39272-9776 2006-03-09
1164499190 Thomas P Forks Family Medicine 7275 S Siwell Rd, Jackson, MS 39272-9776 2006-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649893363 Prestige Dental Care Dentist 7138 S Siwell Road, Byram, MS 39272 2020-05-28
1093204158 Primary Family Medical Clinic Nurse Practitioner 100 Marker Place Dr. Ste D, Byram, MS 39272 2018-05-04
1457869190 Lakisha Ann Mcmorris Adult Companion 300 Byram Drive, Apt 51d, Byram, MS 39272 2018-01-16
1639692908 Quintin Todd Julius, Pllc Dentist 6745 S. Siwell Rd., Suite 210, Byram, MS 39272 2017-07-19
1134649395 Helping Hands Service LLC Home Health 1402 Siwell Rd Suite 110, Byram, MS 39272 2017-06-20
1760916050 Delivery Me, LLC Non-emergency Medical Transport (VAN) 5210 Brookleigh Drive, Byram, MS 39272 2017-04-13
1962893396 Rebecca Holley Speech-Language Pathologist 7213 S Siwell Road, Byram, MS 39272 2015-02-06
1144665738 Providence Healthcare of Ms Nursing Care 6735 I-55 South Frontage Road, Suite 2-a, Byram, MS 39272 2013-05-08
1568742146 Deandre Monique Carr Optometrist 131 Handley Boulevard, Byram, MS 39272 2011-08-26
1063690022 Physical Rehabilitation Management Physical Therapist 128 Byram Center Drive, Jackson, MS 39272 2008-02-01
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215537220 John Franklin Niswonger Nurse Practitioner 861 Canyon Trl, Jackson, MO 63755-4001 2020-10-28
1902421746 Rebecca Mcwhirter Nurse Practitioner 1512 Roswell Dr, Jackson, MS 39211-5928 2020-06-08
1023656642 Nicole Lynn Mckee Nurse Practitioner 170 Bridge St, Jackson, OH 45640-1144 2019-12-13
1104387695 Chatina Spears Martin Nurse Practitioner 308 Melba Hill Dr, Jackson, MS 39209-2833 2019-03-27
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1942649686 Jennifer Annette Paulson Nurse Practitioner 113 W Michigan Ave Ste 201, Jackson, MI 49201-1340 2013-06-16
1770880171 Tracy Little Nurse Practitioner 2782 N Highland Ave Ste C, Jackson, TN 38305-1797 2011-02-21
1750554267 Barbara Darlington Nurse Practitioner 14 Abes Way, Jackson, NJ 08527-4440 2008-04-04
1902075401 Dana Leanne Wilhite Nurse Practitioner 38 Abbey Pl, Jackson, TN 38305-1794 2008-02-28
1659550036 Kristen Elizabeth Tweedy Nurse Practitioner 1100 E Michigan Ave Ste 307, Jackson, MI 49201-1850 2007-11-01
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Competitor

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City JACKSON
Zip Code 39272

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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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