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JERRY WILLIAMS FNP-BC
NPI 1538618145
Nurse Practitioner - Family in Gulfport, MS

Active since September 23, 2016
1340 BROAD AVE STE 300, GULFPORT, MS 39501(228) 575-2700(228) 575-2710 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2020, Sep 23, 2016 (2 updates tracked since 2016).

About Jerry Williams Fnp-bc NPPES

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

JERRY WILLIAMS FNP-BC (NPI 1538618145) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (903695) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1538618145
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJERRY WILLIAMSCredential: FNP-BC
Location Address1340 BROAD AVE STE 300Gulfport, MS 39501-2404
Mailing Address1340 Broad Ave Ste 300Gulfport, MS 39501-2404 · (228) 575-2700 · Fax (228) 575-2710
Phone(228) 575-2700
Fax(228) 575-2710
Sole ProprietorYes
Enumeration DateSeptember 23, 2016
Last NPPES UpdateJuly 22, 20202 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
✔ NPI 1538618145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · 903695✔ Licensed in TN · APN0000021599
1340 BROAD AVE STE 300, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 6

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

DR. NAVIN V BAROT MD
Internal Medicine (Gastroenterology)
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700
LORI EDWARDS
Nurse Practitioner (Family)
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700
STACY WILLIAMS
Nurse Practitioner (Family)
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700
AMBERE LYNN RIGGS NP
Nurse Practitioner (Family)
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700
LAURA ROGERS
Nurse Practitioner (Gerontology)
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700
MATT K GATLIN
Nurse Practitioner
1340 BROAD AVE STE 300
GULFPORT, MS 39501
Harrison County (228) 575-2700

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 Jerry Williams's NPI number?

The NPI number for Jerry Williams is 1538618145. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Where is Jerry Williams located?

Jerry Williams practices at 1340 Broad Ave Ste 300, Gulfport, MS 39501. The listed phone number is (228) 575-2700.

What is Jerry Williams'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 Jerry Williams was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.