Individual
THRESA KAYE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1200 N STATE ST, SUITE 500, JACKSON, MS 39202-2000
(601) 714-6411
(601) 714-6421
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R652253
MS
Other
Enumeration date
04/23/2007
Last updated
03/12/2018
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