Individual
JEFFREY D WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-7000
Mailing address
1009 LARK ST STE 2, JOHNSON CITY, TN 37604-8218
(423) 283-0776
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000140750
TN
Other
Enumeration date
05/11/2006
Last updated
04/24/2019
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