JALEESA NICOLE WILLIAMS (NPI# 1497309298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497309298 |
| Entity Type | Individual |
| Full Name | JALEESA NICOLE WILLIAMS |
| Practice Address |
330b Highway 90 Gautier MS 39553-5744 |
| Mailing Address |
3407 Shamrock Ct Gautier MS 39553-5337 |
| Practice Telephone | 2284970690 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
912487 | MS | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018214 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790215580 | Jaleesa Williams | Behavior Technician | 11821 Parklawn Dr Ste 210, North Bethesda, MD 20852-2539 | 2017-06-14 |
| Street Address |
330B HIGHWAY 90 |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-5744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281214 | Tamika Davis | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2020-09-28 |
| 1790393072 | Melba Richardson | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2020-07-22 |
| 1326656802 | Evelynn Malone Stephens | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2020-07-21 |
| 1942828942 | Brenda Darnetta Shutz | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2020-07-07 |
| 1013545128 | Sara Jane Adair | Registered Nurse | 330b Highway 90, Gautier, MS 39553-5744 | 2020-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667488 | Ricky Bernard Conway | Registered Nurse | 5732 Angle Drive, Jackson, MS 39206-3920 | 2020-04-08 |
| 1568930469 | Bathsheba Brown | Registered Nurse | 760 Brookman Dr Ext, Brookhaven, MS 39601-2340 | 2018-11-08 |
| 1760983969 | Annie Hibbler Pierson | Registered Nurse | 27 Britt Rd, Indianola, MS 38751-2793 | 2018-02-22 |
| 1679080568 | Catrina Deshan Lockhart | Registered Nurse | 472 Highway 35, Collins, MS 39428-6216 | 2018-01-02 |
| 1417341512 | Rose Evans | Registered Nurse | 1011 Pinecrest Dr, Mccomb, MS 39648-8285 | 2015-03-26 |
| 1336608595 | Michael J Necaise | Registered Nurse | 4500 13th St, Gulfport, MS 39501-2569 | 2019-03-18 |
| 1053884106 | Jennifer Elaine Pickens | Registered Nurse | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2019-01-10 |
| 1508309675 | Amanda Veazey | Registered Nurse | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-11-22 |
| 1124400411 | Rodney T Biggs | Registered Nurse | 104 Burney Dr, Flowood, MS 39232-6621 | 2015-06-23 |
| 1710256037 | Fanika Shuntae Herbert | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2011-12-14 |
| 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.