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Individual

MICHELLE NICOLE WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(334) 347-0584
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-091825
AL

Other

Enumeration date
08/08/2012
Last updated
07/03/2019
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