Individual
ELYSE A WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2469 W HILL RD, FLINT, MI 48507-3883
(810) 407-6039
(810) 407-8834
Mailing address
19671 IRONWOOD CT, NORTHVILLE, MI 48167-2514
(248) 840-1645
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704304338
MI
363LP2300X
Primary Care Nurse Practitioner
4704304338
MI
Other
Enumeration date
05/26/2023
Last updated
01/04/2024
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