Marie Jaqueline Williams, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

R830287 Issued in MS

Practice address

501 Marshall St
Suite 600
Jackson, MS 39202-1651

Phone

(601) 948-6540

Fax

(601) 326-1501

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iph, Slidel LLC

  • Women's Health Nurse Practitioner
  • Slidell, LA
  • NPI 1942585591
  NPD (past) Authorized official
• Women'S Specialty Center, LLC

  • Gynecology Physician
  • Jackson, MS
  • NPI 1336193481
  NPD
• Bloom Health Services for Women

  • Women's Health Nurse Practitioner
  • Jackson, MS
  • NPI 1124279245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1073550273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "STE 605",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021650",
            "telephone_number": "601-948-6540",
            "fax_number": "601-326-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "SUITE 600",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021651",
            "telephone_number": "601-948-6540",
            "fax_number": "601-326-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARIE",
        "middle_name": "JAQUELINE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MS",
            "license": "R830287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500017613",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123514",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01112718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leo Williams III, LCSW
• Leonette Williams, FNP
• Linda Fay Williams
• Lindley Kathryn Williams
• Malik Williams
• Maurice Williams, PH.D.
• Michael R. Williams, NP
• Mittie H Williams
• Morgan Kaye Williams
• Natasha Williams

• Obstetrics & Gynecology Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Obstetrics & Gynecology Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.