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Individual

JACQUELINE R WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 632-6688
Mailing address
3000 N GRAND BLVD, OKLAHOMA CITY, OK 73107-1818
(405) 632-6688
(405) 604-0738

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R39065
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200355380A
OK
Enumeration date
06/22/2011
Last updated
03/01/2024
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