Provider Demographics
NPI:1285825455
Name:WILLIAMS, JERI YVONNE (MD)
Entity Type:Individual
Prefix:
First Name:JERI
Middle Name:YVONNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8327 BRIMHALL RD
Mailing Address - Street 2:SUITE 703
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-4048
Mailing Address - Country:US
Mailing Address - Phone:661-679-3590
Mailing Address - Fax:661-695-6900
Practice Address - Street 1:8327 BRIMHALL RD
Practice Address - Street 2:SUITE 703
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-4048
Practice Address - Country:US
Practice Address - Phone:661-679-3590
Practice Address - Fax:661-695-6900
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
AL310682084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program