Jennifer Williams, NP
Individual provider Active NPI Family Nurse Practitioner · Vicksburg, MS
NPI 1124789508 · NPPES record last updated Dec 18, 2025
Key facts
- NPI
- 1124789508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 905092 (MS)
- Practice address
- 2080 S Frontage Rd
Vicksburg, MS 39180-5328 - Phone
- (601) 654-7070
- NPI assigned
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wound Management Specialists LLC
Wound Care Associates LLC
Practice addresses (Care Compare)
1190 N State St
Jackson, MS 39202-2413
Phone (769) 243-6141
2080 S Frontage Rd
Suite 109
Vicksburg, MS 39180-5882
Phone (601) 636-6233
Hospital & facility affiliations
- Mississippi Baptist Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230510003475 | MS | Practitioner - Nurse Practitioner | 0648636928 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905092 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Associates LLC | Current |
Accepting new patients | |
| Hands to Healing,LLC | Current |
Accepting new patients | |
| Healthcare Plus Limited Liability Company | Current |
Accepting new patients | |
| Wound Management Specialists, LLC | Current |
Accepting new patients | |
| Winston Medical Clinic LLC | Past |
Accepting new patients | |
| Corner Clinic Urgent Care LLC | Family | Past |
Accepting new patients |
Locations
16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771
2781 C T Switzer SR Dr
Ste 100
Biloxi, MS 39531
Phone (228) 207-8632
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292
3823 Highway 80 E
Ste 200
Pearl, MS 39208
Phone (769) 223-3261
431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440
2080 S Frontage Rd
Ste 109
Vicksburg, MS 39180
Phone (601) 636-6233
Interoperability endpoints
- https://api.platform.athenahealth.com/16354/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 905092 | MS | Yes |
Addresses
Primary practice location
2080 S Frontage Rd
Vicksburg, MS 39180-5328
Mailing address
1262 Kimbell Rd
Terry, MS 39170-9438
Phone (601) 218-7141
Other practice location 1
1262 Kimbell Rd
Terry, MS 39170-9438
Phone (601) 218-7141
Other providers in Vicksburg, MS
- Staci Florie Wigelsworth
- William E Johnston MD Inc
- Cleopatra Nicole Williams
- Croatia Williams
- Dawn L Williams
- Jennifer Leslie Williams
- Kamesha Williams
- La'Toya Williams
- Taylor Courtney Williams
- William Lee Williamson III
All providers in Vicksburg, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.