Individual
JANE LYNN WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6235 GARFIELD RD, WOLCOTT, VT 05680-4311
(802) 888-9280
Mailing address
6235 GARFIELD RD, WOLCOTT, VT 05680-4311
(802) 888-9280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
013878
ME
207P00000X
Emergency Medicine Physician
042-0010248
VT
207P00000X
Emergency Medicine Physician
21800
AZ
207P00000X
Emergency Medicine Physician
C51611
CA
207Q00000X
Family Medicine Physician
Primary
013878
ME
207Q00000X
Family Medicine Physician
21800
AZ
207Q00000X
Family Medicine Physician
C51611
CA
207Q00000X
Family Medicine Physician
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C516110
—
CA
Enumeration date
05/16/2006
Last updated
09/11/2025
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