Provider Demographics
NPI:1598565079
Name:WILLIAMS, JESSICA JAMES (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:JAMES
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:JAMES
Other - Last Name:BIGELOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:216 RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:BLACKWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-4730
Mailing Address - Country:US
Mailing Address - Phone:775-315-1999
Mailing Address - Fax:
Practice Address - Street 1:216 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:BLACKWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08012-4730
Practice Address - Country:US
Practice Address - Phone:775-315-1999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15296600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty