Provider Demographics
NPI:1477801918
Name:WILLIAMS, JAMIE WHITSEL (MSN, NP-C)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:WHITSEL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:CECILIA
Other - Last Name:WHITSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, NP-C
Mailing Address - Street 1:3320 OLD JEFFERSON RD
Mailing Address - Street 2:BUILDING 400
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30607-1400
Mailing Address - Country:US
Mailing Address - Phone:706-613-1625
Mailing Address - Fax:706-613-1629
Practice Address - Street 1:3320 OLD JEFFERSON RD
Practice Address - Street 2:BUILDING 400
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30607-1400
Practice Address - Country:US
Practice Address - Phone:706-613-1625
Practice Address - Fax:706-613-1629
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN128974363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily