Provider Demographics
NPI:1669699229
Name:WILLIAMSON, JEAN P (RN, BS)
Entity type:Individual
Prefix:MS
First Name:JEAN
Middle Name:P
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:RN, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6568 CLAGETT AVE
Mailing Address - Street 2:
Mailing Address - City:TRACYS LANDING
Mailing Address - State:MD
Mailing Address - Zip Code:20779-2528
Mailing Address - Country:US
Mailing Address - Phone:410-257-9163
Mailing Address - Fax:
Practice Address - Street 1:3 HARRY TRUMAN PARKWAY
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-222-7004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR108264163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health