Provider Demographics
NPI:1912929217
Name:WILLIAMS, JENNIFER ARGRAVES (DC)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ARGRAVES
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 SUMMERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-7645
Mailing Address - Country:US
Mailing Address - Phone:612-801-7235
Mailing Address - Fax:
Practice Address - Street 1:1730 PLYMOUTH RD STE 1
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1960
Practice Address - Country:US
Practice Address - Phone:612-801-7235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4403111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor