Individual
JACQUELINE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
4102 FANNIN ST, HOUSTON, TX 77004-4808
(713) 524-2633
(713) 524-2639
Mailing address
4102 FANNIN ST, HOUSTON, TX 77004-4808
(713) 524-2633
(713) 524-2639
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
671036
TX
Other
Enumeration date
07/24/2010
Last updated
07/26/2021
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