Individual
GWENDOLYN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
201 POPLAR AVE, MEMPHIS, TN 38103-1945
(901) 545-2445
Mailing address
159 ROSEMARY DR APT 6, SOUTHAVEN, MS 38671-3975
(662) 349-0914
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000006558
TN
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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