Individual
MRS. JENNA MARIE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1101 HILLCREST PKWY, DUBLIN, GA 31021-3562
(478) 272-0023
Mailing address
1099 TELFAIR COUNTY LINE RD, RHINE, GA 31077-1701
(478) 231-8932
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN222833
GA
Other
Enumeration date
11/17/2017
Last updated
06/16/2018
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