Individual
VICKI WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2594 COLDSPRINGS RD, SARDIS, MS 38666-5644
(662) 934-9394
Mailing address
2594 COLDSPRINGS RD, SARDIS, MS 38666-5644
(662) 934-9394
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R745718
MS
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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