Individual
JENNIFER N. WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3950 BEAUBIEN - GROUND FL, CHILDREN'S HOSPITAL OF MI, DETROIT, MI 48201-2153
(313) 832-8871
(313) 966-7445
Mailing address
4201 ST. ANTOINE - UHC 5D #226, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201-2153
(313) 745-4405
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704278893
MI
363LF0000X
Family Nurse Practitioner
4704278893
MI
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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