Individual
NANCY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C/LCSW
Contact information
Practice address
203 N ARNOLD RD STE D, PANAMA CITY BEACH, FL 32413-2225
(850) 819-1850
(850) 665-2889
Mailing address
9232 PARADISE DR, PANAMA CITY BEACH, FL 32413-9625
(850) 320-8254
(850) 665-2889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
SW 6735
FL
363AM0700X
Medical Physician Assistant
Primary
PA 9106151
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766137100
—
FL
Enumeration date
07/10/2006
Last updated
09/17/2025
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