Individual
MR. JASON KYLE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C, ENP-C
Contact information
Practice address
995 9TH AVE SW, BESSEMER, AL 35022-4527
(205) 481-7000
Mailing address
5604 VICTORIA DR, HUEYTOWN, AL 35023-5967
(205) 306-0646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-136865
AL
363LF0000X
Family Nurse Practitioner
Primary
1-136865
AL
Other
Enumeration date
09/18/2012
Last updated
09/07/2023
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