Organization
NP DIRECT TELEHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETA JOLLIAN WATKINS APRN (ADVANCED PRACTICE REGISTERED NURSE)
(813) 358-6231
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(813) 358-6231
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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