Individual
MELISSA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1450 ROSS CLARK CIR STE 400, DOTHAN, AL 36301-4770
(334) 305-0400
(334) 305-0401
Mailing address
PO BOX 2266, DOTHAN, AL 36302-2266
(334) 305-0400
(334) 305-0401
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1-127160
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-127160
ALABAMA NURSING LICENSE
AL
Enumeration date
02/28/2017
Last updated
07/21/2022
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