Individual
JEFFREY NATHANIEL WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
309339
LA
208100000X
Physical Medicine & Rehabilitation Physician
Q5733
TX
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Q5733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350713901
—
TX
01
—
350713902
CSCHN
TX
01
—
8FK668
BCBS
TX
01
—
P01619229
RAIL ROAD MEDICARE
TX
Enumeration date
07/14/2010
Last updated
08/20/2018
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