# JEROME WATSON LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jerome Watson LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477793479
- **Authorized official:** JEROME WATSON APRN (SOLE MEMBER)
- **Authorized official phone:** (903) 334-8132

## Contact information

- **Practice address:** 7209 GOLDFINCH RD, TEXARKANA, TX 75501-0227
- **Practice address phone:** (903) 334-8132
- **Mailing address:** 7209 GOLDFINCH RD, TEXARKANA, TX 75501-0227
- **Mailing address phone:** (903) 334-8132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2009
- **Last updated:** 04/07/2020