Individual
NAOMI D WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
176C W UNIVERSITY PKWY # C, JACKSON, TN 38305-1616
(731) 660-6915
(731) 668-4557
Mailing address
176C W UNIVERSITY PKWY # C, JACKSON, TN 38305-1616
(731) 660-6915
(731) 668-4557
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1925
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527825
—
TN
Enumeration date
11/23/2011
Last updated
07/14/2021
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