Individual
MS. LINDA MARIE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1389
Mailing address
103 COVE LN, MADISON, MS 39110-7913
(601) 853-7633
(601) 898-2921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R859108
MS
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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