Provider Demographics
NPI:1568635845
Name:ANGLIN, JESSICA RIAN WILLIAMS (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:RIAN WILLIAMS
Last Name:ANGLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:197 E UNIVERSITY DR STE 2
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-6725
Mailing Address - Country:US
Mailing Address - Phone:334-329-7862
Mailing Address - Fax:334-329-7879
Practice Address - Street 1:197 E UNIVERSITY DR STE 2
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-6725
Practice Address - Country:US
Practice Address - Phone:334-329-7862
Practice Address - Fax:334-329-7879
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.30505208000000X
MO2007018740208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics