Individual
MS. CHRISTINE MARIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
104 BURNEY DR, FLOWOOD, MS 39232
(601) 987-8200
(601) 987-8211
Mailing address
PO BOX 30594, CHARLOTTE, NC 28230-0594
(601) 987-8200
(601) 987-8211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R860392
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06534072
—
MS
01
—
P00329333
MEDICARE RR
MS
01
—
R860392
RN LICENSE
MS
Enumeration date
06/05/2006
Last updated
10/16/2019
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