Individual
MRS. COURTNEY WALTON WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4944
Mailing address
814 BRIDLEPATH LN, CHARLOTTE, NC 28211-2020
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5009698
NC
Other
Enumeration date
07/28/2017
Last updated
11/01/2020
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