Individual
JOLISA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1845 CHERRY ST, MONTGOMERY, AL 36107-2613
(334) 420-5001
Mailing address
2069 RUSSET WOODS TRL, HOOVER, AL 35244-4204
(205) 516-4412
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-136709
AL
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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