Individual
STACY JO ANN WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 SENATE AVE STE 108, RED OAK, IA 51566-1271
(712) 623-7280
(712) 623-7279
Mailing address
1400 SENATE AVE STE 108, RED OAK, IA 51566-1271
(712) 623-7280
(712) 623-7279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A167711
IA
Other
Enumeration date
02/18/2022
Last updated
10/07/2022
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