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Organization
NP DIRECT TELEHEALTH LLC
Active
Organization
NP DIRECT TELEHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETA JOLLIAN WATKINS APRN (ADVANCED PRACTICE REGISTERED NURSE)
(813) 358-6231
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(813) 358-6231
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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