Individual
JOSHUA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2308 OK-66, STROUD, OK 74834
(918) 968-3571
Mailing address
341965 E 930 RD, CHANDLER, OK 74834-8329
(405) 240-6492
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111990
OK
363LA2100X
Acute Care Nurse Practitioner
111990
OK
363LF0000X
Family Nurse Practitioner
111990
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111990
OKLAHOMA BOARD OF NURSING
OK
Enumeration date
06/13/2019
Last updated
03/15/2022
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