# NP DIRECT TELEHEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114756723
- **Authorized official:** PETA JOLLIAN WATKINS APRN (ADVANCED PRACTICE REGISTERED NURSE)
- **Authorized official phone:** (813) 358-6231

## Contact information

- **Practice address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Practice address phone:** (813) 358-6231
- **Mailing address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2024
- **Last updated:** 07/31/2024