Individual
JENNIFER GOOLSBY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2970 W US HIGHWAY 90, SUITE 120, LAKE CITY, FL 32055-4700
(386) 755-9675
(386) 755-8770
Mailing address
2970 W US HIGHWAY 90, SUITE 120, LAKE CITY, FL 32055-4700
(386) 755-9675
(386) 755-8770
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9268061
FL
363LA2200X
Adult Health Nurse Practitioner
RN193806
GA
Other
Enumeration date
04/13/2010
Last updated
02/22/2016
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