Individual
JOHNNIE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
200 MEDICAL CENTER DR, SUITE 3P, HAZARD, KY 41701-9466
(606) 487-7955
(606) 487-7949
Mailing address
200 MEDICAL CENTER DR, SUITE 3P, HAZARD, KY 41701-9466
(606) 487-7955
(606) 487-7949
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010556
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3010556
KY
Other
Enumeration date
07/26/2016
Last updated
02/19/2024
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