| Jaclyn Faith Williams, BSN, RN, CRNA | |
|
1900 Electric Rd, Salem, VA 24153-7494 | |
| (540) 776-4000 | |
| Not Available |
| Full Name | Jaclyn Faith Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1900 Electric Rd, Salem, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386350544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001287072 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024192755 (Virginia) | Primary |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Faith Williams, BSN, RN, CRNA 76 Peachtree Rd Ste 300, Asheville, NC 28803-3505 Ph: (288) 398-5244 | Jaclyn Faith Williams, BSN, RN, CRNA 1900 Electric Rd, Salem, VA 24153-7494 Ph: (540) 776-4000 |
Kristin Mirenda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-493-4581 | |
Maria D Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Anesthesia Department, Salem, VA 24153 Phone: 540-776-4000 | |
Whitney Bateman Linse, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd., Anesthesia Department, Salem, VA 24153 Phone: 540-266-9306 | |
Victoria Ballantyne, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 438 W Main St, Salem, VA 24153 Phone: 540-378-5276 | |
Kathryn B Stewart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-493-4581 Fax: 770-237-1727 | |
Barbara Weiserbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1802 Braeburn Dr, Salem, VA 24153 Phone: 540-772-3600 Fax: 540-725-4543 | |
Gregory K Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Anesthesia Department, Salem, VA 24153 Phone: 866-224-2413 |