Active NPIIndividual provider

Ms. Jennifer A Williams, PA-C

Physician Assistant, Surgical in Derby, Connecticut

NPI Number1659557643
Practice location
130 Division St, Derby, CT 06418-1326
Fax
203-732-1332
Last updated
November 19, 2020

Jennifer Anne Williams is a Physician Assistant, Surgical based in Derby, CT. Jennifer Anne Williams practices in Derby, CT and has the professional credentials of PA-C. The NPI Number for Jennifer Anne Williams is 1659557643 and holds a License No. 002056 (CT). The current practice location address for Jennifer Anne Williams is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 203-732-1330 and via fax at 203-732-1332.

Provider Profile Details

NPI Number
1659557643
Provider Name
Jennifer Anne Williams
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
130 Division St, Derby, CT 06418-1326
Phone Number
203-732-1330
Fax Number
203-732-1332
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Other Names
Ms. Jennifer Donovan, PA-C (Former Name)
Provider Enumeration Date
January 21, 2008
Last Update Date
November 19, 2020
Certification Date
November 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Division St
Derby, CT 06418-1326
City
Derby
Zip
06418-1326
Phone Number
203-732-1330
Fax Number
203-732-1332
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
67 Maple Ave
Derby, CT 06418-1328
City
Derby
State
CT
Zip
06418-1328
Phone Number
203-732-1256
Fax Number
203-732-1539

License Information

License Number
002056
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

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

Other Physician Assistant, Surgical providers near Derby, CT

View all Physician Assistant, Surgical providers in Derby →

Frequently Asked Questions

What is the NPI number of Ms. Jennifer A Williams, PA-C?

The NPI number of Ms. Jennifer A Williams, PA-C is 1659557643. It was assigned on January 21, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Jennifer A Williams, PA-C?

Ms. Jennifer A Williams, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 002056.

Where does Ms. Jennifer A Williams, PA-C practice?

The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 203-732-1330 (phone) or 203-732-1332 (fax).

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 1659557643 directly on the NPPES registry website.

Browse related providers