Provider Demographics
NPI:1497568638
Name:WILLIAMS, JEANETTE (APNP, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JEANETTE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:APNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17798 HIDDEN VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:WI
Mailing Address - Zip Code:53504-9599
Mailing Address - Country:US
Mailing Address - Phone:262-994-6131
Mailing Address - Fax:
Practice Address - Street 1:211 BEV ANDERSON DR
Practice Address - Street 2:
Practice Address - City:DARLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53530-1228
Practice Address - Country:US
Practice Address - Phone:608-776-4466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16635-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health