Active NPIIndividual providerSole proprietor

Carlene A Williams-Jack

Registered Nurse in Mount Vernon, New York

NPI Number1306638960
Practice location
324 E 4TH St Apt C10, Mount Vernon, NY 10553-1524
Fax
—
Last updated
May 20, 2025

Carlene Annmarie Williams-Jack is a Registered Nurse based in Mount Vernon, NY. Carlene Annmarie Williams-Jack practices in Mount Vernon, NY. The NPI Number for Carlene Annmarie Williams-Jack is 1306638960 and holds a License No. 96459901 (NY). The current practice location address for Carlene Annmarie Williams-Jack is 324 E 4TH St Apt C10, Mount Vernon, NY 10553-1524 and can be reached out via phone at 347-579-6654.

Provider Profile Details

NPI Number
1306638960
Provider Name
Carlene Annmarie Williams-Jack
Provider Entity Type
Individual
Gender
Female
Address
324 E 4TH St Apt C10, Mount Vernon, NY 10553-1524
Phone Number
347-579-6654
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2025
Last Update Date
May 20, 2025
Certification Date
May 20, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
324 E 4TH St Apt C10
Mount Vernon, NY 10553-1524
Zip
10553-1524
Phone Number
347-579-6654
Mount Vernon, NY 10553Get directions →

Provider Business Mailing Address Details

Address
324 E 4TH St Apt C10
Mount Vernon, NY 10553-1524
City
Mount Vernon
State
NY
Zip
10553-1524
Phone Number
347-579-6654

License Information

License Number
96459901
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carlene A Williams-Jack?

The NPI number of Carlene A Williams-Jack is 1306638960. It was assigned on May 20, 2025 and is currently active in the NPPES registry.

What is the specialty of Carlene A Williams-Jack?

Carlene A Williams-Jack is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 96459901.

Where does Carlene A Williams-Jack practice?

The practice location is 324 E 4TH St Apt C10, Mount Vernon, NY 10553-1524. The office can be reached at 347-579-6654 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306638960 directly on the NPPES registry website.

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