Individual
MISTY JEWELL WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4168 HEDGES RD, ARDMORE, OK 73401-9044
(580) 504-4922
(580) 220-6499
Mailing address
4168 HEDGES RD, ARDMORE, OK 73401-9044
(580) 504-4922
(580) 220-6499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88714
OK
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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