Individual
MRS. CRYSTAL G WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3100 APACHE, STE. A, JONESBORO, AR 72401-3125
(870) 935-8388
(870) 935-8668
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 336-1485
(870) 336-1484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-439
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P334
MEDICARE PTAN
AR
Enumeration date
04/11/2011
Last updated
05/13/2013
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