Individual
MRS. JANESSA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1916 NW COPPER OAKS CIR, BLUE SPRINGS, MO 64015-8300
(913) 708-8258
(913) 708-8289
Mailing address
1916 NW COPPER OAKS CIR, BLUE SPRINGS, MO 64015-8300
(913) 708-8258
(913) 708-8289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012008030
MO
363LF0000X
Family Nurse Practitioner
53-76692-112
KS
Other
Enumeration date
03/14/2012
Last updated
11/10/2023
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