Individual
JESSIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1203 B AVE, ELLISVILLE, MS 39437-2080
(601) 477-3550
Mailing address
287 OLD HIGHWAY 84 LOOP, LAUREL, MS 39443-7303
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905835
MS
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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