Individual
JENNIFER WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 997-3000
Mailing address
2531 WESTMINSTER AVE, COSTA MESA, CA 92627-1345
(949) 648-0685
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN:516579; NP:10023
CA
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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