Provider Demographics
NPI:1740738681
Name:WILLIAMS, JASCHICA (MSN, FNP)
Entity type:Individual
Prefix:
First Name:JASCHICA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:JASCHICA
Other - Middle Name:
Other - Last Name:SHELLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:791 N. HIGHWAY 77, SUITE 501C- #228
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165
Mailing Address - Country:US
Mailing Address - Phone:972-813-9908
Mailing Address - Fax:
Practice Address - Street 1:315 S HAMPTON RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-5618
Practice Address - Country:US
Practice Address - Phone:469-800-8810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131938363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
547684ZLWQMedicare Oscar/Certification