Paulette D Williamsjackson, R.N.,

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

448112-1 Issued in NY

Practice address

10815 Flatlands 9TH St
Brooklyn, NY 11236-4642

Phone

(347) 425-1651

NPI assigned

Nov 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1386074334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 FLATLANDS 9TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "347-425-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 FLATLANDS 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364642",
            "telephone_number": "347-425-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSJACKSON",
        "first_name": "PAULETTE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "R.N.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "448112-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Williamsburg Services LLC
• Williamsburg Smiles Family Dentistry PC
• Williamsburg Speaks Speech Language Pathology PLLC
• Williamsburg Speech Therapy, PLLC
• Williamsburgh Internal Medicine P.C.
• Danielle Paige Williamson, MA, BCBA
• Delyse Williamson
• Denesha Williamson
• Hyacinth L Williamson, MD
• John Williamson, LMSW

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; 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.