Individual
MRS. BETTY MARTIN-WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
975 NC HIGHWAY 66 S, KERNERSVILLE, NC 27284-3132
(336) 883-0029
(336) 967-6685
Mailing address
645 N MAIN ST, HIGH POINT, NC 27260-5017
(336) 883-0029
(336) 883-0867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
075746
NC
363L00000X
Nurse Practitioner
Primary
900278
NC
363LF0000X
Family Nurse Practitioner
900278
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
102293
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170XN
BCBS
NC
01
—
6113029
MEDICAID NC - BEHAVORIAL HEALTH
NC
05
—
7006380
—
NC
Enumeration date
03/21/2007
Last updated
03/31/2025
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