Individual
JESSICA LYNN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMI
Contact information
Practice address
1005 S 5TH ST BLDG 4, HUGO, OK 74743-8013
(580) 406-2816
Mailing address
1007 S 5TH ST, HUGO, OK 74743-6237
(580) 406-2618
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
300163
OK
175T00000X
Peer Specialist
Primary
132087
OK
Other
Enumeration date
12/16/2009
Last updated
04/28/2026
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