Individual
DAVID JACK WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
Mailing address
1055 N 500 W, PROVO, UT 84604-3305
(435) 528-2130
(435) 528-2186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
293477-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
AP61518780
WA
Other
Enumeration date
08/15/2006
Last updated
12/23/2025
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