Individual
MS. LONNIE D WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
965 MUSGROVE CT, ORANGE PARK, FL 32065-2201
(817) 521-4037
Mailing address
965 MUSGROVE CT, ORANGE PARK, FL 32065-2201
(817) 521-4037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9571011
FL
164W00000X
Licensed Practical Nurse
L40638
AR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
08/05/2026
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