Provider Demographics
NPI:1235159864
Name:WILLIAMS, JANICE P (MS; PA-C)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:P
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS; PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:51704 HIGHWAY 438
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:LA
Mailing Address - Zip Code:70438
Mailing Address - Country:US
Mailing Address - Phone:985-848-9955
Mailing Address - Fax:985-848-9964
Practice Address - Street 1:51704 HIGHWAY 438
Practice Address - Street 2:
Practice Address - City:FRANKLINTON
Practice Address - State:LA
Practice Address - Zip Code:70438-7488
Practice Address - Country:US
Practice Address - Phone:985-848-9955
Practice Address - Fax:985-848-9964
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.A10166.RX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1624969Medicaid
S48773Medicare UPIN