Individual
MISS JACQUELINE WATSON-KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1611 12 AVE NW, MIAMI, FL 33136
(305) 585-6901
Mailing address
5520 TAYLOR ST, HOLLYWOOD, FL 33021-5761
(954) 961-3716
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2684802
FL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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