Individual
JESSICA VELISSA WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2901 N ELM ST, LUMBERTON, NC 28358-2982
(910) 671-5395
(910) 739-3062
Mailing address
2901 N ELM ST, LUMBERTON, NC 28358-2982
(910) 671-5395
(910) 739-3062
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5020822
NC
Other
Enumeration date
07/12/2017
Last updated
02/05/2025
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