Individual
JENNIFER CROSBIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
300 PAVILION RD, WEST MONROE, LA 71292-9470
(318) 323-1100
(318) 323-1161
Mailing address
300 PAVILION RD, WEST MONROE, LA 71292-9470
(318) 323-1100
(318) 323-1161
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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