Individual
JENNIFER WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 FODEN ROAD - EAST, SUITE 203, SOUTH PORTLAND, ME 04106
(207) 874-1489
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106
(207) 347-2947
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP161087
ME
Other
Enumeration date
07/22/2016
Last updated
03/23/2026
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