Individual
JENNIFER DEVAULT WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 S CONCORD ST STE 100, KNOXVILLE, TN 37919-3339
(865) 805-3118
Mailing address
1518 LAURENS GLEN LN, KNOXVILLE, TN 37923-6860
(865) 223-2468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
136638
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
18192
TN
367500000X
Certified Registered Nurse Anesthetist
RN2290233
MA
Other
Enumeration date
09/27/2013
Last updated
07/23/2025
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