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Individual

SHELBY JERENE WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1393 GEORGE DIETER DR STE A, EL PASO, TX 79936-7410
(915) 231-2381
(915) 231-2382
Mailing address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 521-7414
(915) 521-2235

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1048314
TX
363LP2300X
Primary Care Nurse Practitioner
1048314
TX

Other

Enumeration date
08/12/2024
Last updated
03/06/2025
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