Individual
KIMBERLY SHARELLE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
309 MAGNOLIA DR, RALEIGH, MS 39153-6011
(601) 782-4244
Mailing address
249 GEORGE RD, FOREST, MS 39074-9082
(601) 697-0977
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905254
MS
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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