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Individual
JENDAYI RENEA WATKINS
Active
Individual
JENDAYI RENEA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
APRN-NP300203
GA
2255A2300X
Athletic Trainer
Primary
—
IL
363LG0600X
Gerontology Nurse Practitioner
APRN-NP300203
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XOH846989710
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/13/2017
Last updated
09/03/2026
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