Individual
ELIZABETH M WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
195 W ILLINOIS AVE, SOUTHERN PINES, NC 28387-5808
(910) 692-2444
(910) 692-3031
Mailing address
195 W ILLINOIS AVE, SOUTHERN PINES, NC 28387-5808
(910) 692-2444
(910) 692-3031
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0050-03028
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078455
RN LICENSE
NC
01
—
142373
NCMB CERT OF REGISTRATION
NC
05
—
6004006
—
NC
Enumeration date
06/16/2006
Last updated
08/28/2014
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