Individual
JENNY LYNN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2840 FLORIDA BLVD, BATON ROUGE, LA 70802-2721
(225) 224-8690
(225) 615-7704
Mailing address
109 MOSBY CT, VIDALIA, LA 71373-3704
(601) 807-6063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206870
LA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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