Organization
JENNIFER WATSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DEVAULT WATSON (PROVIDER/OWNER)
(865) 223-2468
Entity
Organization
Contact information
Practice address
8125 KINGSDALE DR, KNOXVILLE, TN 37919-7090
(865) 223-2468
Mailing address
8125 KINGSDALE DR, KNOXVILLE, TN 37919-7090
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
136638
TN
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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