Provider Demographics
NPI:1659433050
Name:WILLIAMS, JILL CRANFORD (NP-C)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:CRANFORD
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:AMANDA
Other - Last Name:CRANFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:1136 CLEVELAND AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-3618
Mailing Address - Country:US
Mailing Address - Phone:044-463-9004
Mailing Address - Fax:404-806-6681
Practice Address - Street 1:1136 CLEVELAND AVE STE 308
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-3618
Practice Address - Country:US
Practice Address - Phone:404-446-3900
Practice Address - Fax:404-806-6681
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN160574363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily