Provider Demographics
NPI:1811045966
Name:WILLIAMS, JANA (M D)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 ROBARDS CIR
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-1963
Mailing Address - Country:US
Mailing Address - Phone:855-446-4374
Mailing Address - Fax:415-891-0725
Practice Address - Street 1:2415 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-4009
Practice Address - Country:US
Practice Address - Phone:855-446-4374
Practice Address - Fax:415-891-0725
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN215702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3067736Medicare ID - Type Unspecified