Jesse Williams, ATC

Athletic Trainer · Moreno Valley, CA

Individual Active NPI

NPI number 1760831689

Practice location

14553 Milestone St
Moreno Valley, CA 92555-5719
Phone
(562) 922-4668

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NPI record

NPI
1760831689
Entity type
Individual (Type 1)
Enumeration date
June 10, 2016
Last updated
December 17, 2020
Certified
December 17, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X — —

About Jesse Williams

Jesse Williams, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 14553 Milestone St, Moreno Valley, CA 92555-5719. The NPI number 1760831689 was assigned on June 10, 2016 and the record was last updated on December 17, 2020.

Frequently asked questions

What is the NPI number of Jesse Williams, ATC?

The NPI number is 1760831689.

What is the phone number of Jesse Williams?

The phone number listed for the practice location is (562) 922-4668.

Where is Jesse Williams located?

14553 Milestone St, Moreno Valley, CA 92555-5719.

What is the taxonomy code for Jesse Williams?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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