Jennifer Lynn Williams
Individual provider Active NPI Licensed Vocational Nurse · Early, TX
NPI 1316579808 · NPPES record last updated Feb 12, 2020
Key facts
- NPI
- 1316579808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 350335 (TX)
- Practice address
- 4100 Highway 84 E
Early, TX 76802-3618 - Phone
- (325) 642-7780
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350335 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 350335 | TX | Yes |
Addresses
Primary practice location
4100 Highway 84 E
Early, TX 76802-3618
Mailing address
4100 Highway 84 E
Early, TX 76802-3618
Phone (325) 642-7780
Other providers in Early, TX
- Tranquil Hearts Counseling Services
- Jessika Mae Truax
- Valence Nutrition
- Jennifer Jamison Waldrop
- Rebeca Lynn Walters
- Lorin Wolf
All providers in Early, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.