Provider Demographics
NPI:1104903210
Name:WILLIAMS, JESSICA YING (MD)
Entity type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:YING
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60762
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17106-0762
Mailing Address - Country:US
Mailing Address - Phone:717-540-8594
Mailing Address - Fax:717-540-9093
Practice Address - Street 1:4300 DEVONSHIRE RD
Practice Address - Street 2:SUITE #1
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-1540
Practice Address - Country:US
Practice Address - Phone:717-540-8594
Practice Address - Fax:717-540-9093
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPAK000014171100000X
PAMD064090L207R00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No171100000XOther Service ProvidersAcupuncturist
Not Answered208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine