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Individual

JESSICA DENISE WATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
840 E RIVER PL STE 504, JACKSON, MS 39202-3487
(769) 251-5427
(769) 251-5428
Mailing address
100 COVINGTON PARK DR APT 621, JACKSON, MS 39212-5055
(601) 937-6683

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/05/2018
Last updated
05/13/2025
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