Individual
RANDI APRIL WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
407 S VALLEY ST, CARTHAGE, MS 39051-4051
(601) 298-0333
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 206-6100
(601) 206-6052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R858535
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09809517
—
MS
Enumeration date
07/08/2008
Last updated
12/09/2013
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