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Individual

JENNIFER CROSBIE WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CPNP

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP06609
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09453068
MS
05
2304623
LA
Enumeration date
05/15/2012
Last updated
06/05/2015
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