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Individual

STEPHANIE N WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1208 OFFICE PARK DR, OXFORD, MS 38655-3597
(662) 234-9888
(662) 281-8927
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
(901) 328-1355

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
886842
MS
363LF0000X
Family Nurse Practitioner
Primary
901820
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003606788
MS
Enumeration date
10/28/2016
Last updated
02/16/2026
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