Individual
JENNIFER MARIE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 268-6470
Mailing address
4760 PAWNEE TRL, MERRITT ISLAND, FL 32953-7826
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9314133
FL
Other
Enumeration date
03/06/2018
Last updated
04/20/2021
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