Individual
JASMINE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 317-4073
Mailing address
102 MAGNOLIA DR, FLORENCE, SC 29506-7214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
255646
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30024
SC
Other
Enumeration date
08/10/2023
Last updated
04/22/2025
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