KATHLENE WILLIAMSON C.F.N.P.
NPI 1457357063
Nurse Practitioner - Family in Jackson, MS

Active since June 28, 2005
5903 RIDGEWOOD ROAD, SUITE 440, JACKSON, MS 39211(601) 899-3989(601) 899-3504 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathlene Williamson C.f.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLENE WILLIAMSON C.F.N.P. (NPI 1457357063) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R530719) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1457357063
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLENE WILLIAMSONCredential: C.F.N.P.
Location Address5903 RIDGEWOOD ROAD, SUITE 440Jackson, MS 39211-3702
Mailing AddressPo Box 24023, Dept #03-054Jackson, MS 39225-4023 · (601) 899-3989 · Fax (601) 899-3504
Fax(601) 899-3504
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateApril 5, 2012
NPI 1457357063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R530719
Also ListedNurse PractitionerTaxonomy 363L00000X · License APN13944 (TN)
5903 RIDGEWOOD ROAD, Jackson, MS 39211

Other Names 1

Former Name (1)Kathlene Suzanne Hodges C.f.n.p.

Other Identifiers 2

Medicare UPINS89095
Medicare ID-Type Unspecified500001699MS

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
5903 RIDGEWOOD ROAD, SUITE 430
JACKSON, MS 39211
Internal Medicine
5903 RIDGEWOOD ROAD, SUITE 310, REDDIX MEDICAL GROUP
JACKSON, MS 39211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathlene Williamson's NPI number?

The NPI number for Kathlene Williamson is 1457357063. It was assigned to this individual provider in the NPPES registry on June 28, 2005. The provider is also known as Kathlene Suzanne Hodges C.F.N.P..

Where is Kathlene Williamson located?

Kathlene Williamson practices at 5903 Ridgewood Road Suite 440, Jackson, MS 39211. The listed phone number is (601) 899-3989.

What is Kathlene Williamson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kathlene Williamson was last updated on April 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.