Individual
JENNIFER WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6363 W WEDINGTON DR, FAYETTEVILLE, AR 72704-5839
(479) 800-4185
(479) 316-0372
Mailing address
6363 W WEDINGTON DR, FAYETTEVILLE, AR 72704-5839
(479) 800-4185
(479) 316-0372
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R074303
AR
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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