Provider Demographics
NPI:1790072288
Name:WILLIAMS, RASHEDA JORDAN (FNP)
Entity type:Individual
Prefix:MRS
First Name:RASHEDA
Middle Name:JORDAN
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:FNP
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Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:844-630-0700
Mailing Address - Fax:877-374-1924
Practice Address - Street 1:4890 HIGHWAY 18 W
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39209-9666
Practice Address - Country:US
Practice Address - Phone:601-301-5385
Practice Address - Fax:877-866-2356
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MSR864253363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09383254Medicaid
MSR864253OtherLICENSE NUMBER
MS275249YPYUMedicare UPIN