Provider Demographics
NPI:1083123558
Name:WILLIAMS, JESSICA ROSE (PA-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ROSE
Last Name:WILLIAMS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:7474 GREENWAY CENTER DR STE 900
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3504
Mailing Address - Country:US
Mailing Address - Phone:301-982-2000
Mailing Address - Fax:301-982-2001
Practice Address - Street 1:236 E IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-2099
Practice Address - Country:US
Practice Address - Phone:301-486-4690
Practice Address - Fax:301-441-8809
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2024-04-18
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical