Active NPI
Jennifer Jane Williams, FNP
- Community Health Nurse Practitioner
- Blountville, TN
National Provider Identifier
1487707600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- APN0000005141
- Practice address
- 154 Blountville Bypass
Blountville, TN 37617-0630 - Phone
- (423) 279-2638
- Fax
- (423) 279-2727
- NPI assigned
- Jan 19, 2007
- 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 |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | APN0000005141 | TN | Primary |
Addresses
Primary practice location
154 Blountville Bypass
Blountville, TN 37617-0630
Mailing address
PO Box 630
154 Blountville Bypass
Blountville, TN 37617-0630
Phone (423) 279-2638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000005141 | TN | MD | Community Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487707600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 630",
"address_2": "154 BLOUNTVILLE BYPASS",
"city": "BLOUNTVILLE",
"state": "TN",
"postal_code": "376170630",
"telephone_number": "423-279-2638",
"fax_number": "423-279-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 BLOUNTVILLE BYPASS",
"city": "BLOUNTVILLE",
"state": "TN",
"postal_code": "376170630",
"telephone_number": "423-279-2638",
"fax_number": "423-279-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JENNIFER",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "TN",
"license": "APN0000005141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blountville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.