Active NPI
Jennifer Williams, NP
- Family Nurse Practitioner
- Vicksburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 905092
- Practice address
- 2080 S Frontage Rd
Vicksburg, MS 39180-5328 - Phone
- (601) 654-7070
- NPI assigned
- Jan 6, 2022
- Last updated
- Dec 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 905092 | MS | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Plus Limited Liability Company | Current | Accepting new patients | |
| Wound Care Associates LLC | Current | Accepting new patients | |
| Hands to Healing,LLC | Current | Accepting new patients | |
| Wound Management Specialists, LLC | Current | Accepting new patients | |
| Corner Clinic Urgent Care LLC | Family | Past | Accepting new patients |
| Winston Medical Clinic LLC | 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) 326-1794
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
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Flowood, MS
- NPI 1972150084
-
dba Family First Healthcare
- Family Medicine Physician
- Florence, MS
- NPI 1649923707
-
- Rural Health Clinic/Center
- Louisville, MS
- NPI 1629417324
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1124789508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1262 KIMBELL RD",
"city": "TERRY",
"state": "MS",
"postal_code": "391709438",
"telephone_number": "601-218-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 S FRONTAGE RD",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391805328",
"telephone_number": "601-654-7070"
}
],
"practiceLocations": [
{
"address_1": "1262 Kimbell Rd",
"address_purpose": "LOCATION",
"city": "Terry",
"state": "MS",
"postal_code": "391709438",
"country_code": "US",
"telephone_number": "601-218-7141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNIFER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-06",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "905092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.