Individual
JESSICA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
225 S LINDER RD APT O107, EAGLE, ID 83616-4494
(208) 519-8520
Mailing address
225 S LINDER RD APT O107, EAGLE, ID 83616-4494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04230286
ID
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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