Individual
MS. JACQUELINE PENTZ WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
853 JEFFERSON AVENUE, ROUT BLDG, SUITE 201, MEMPHIS, TN 38103-2897
(901) 545-7366
Mailing address
3532 WINDING WIND COVE, BARTLETT, TN 38135-3044
(901) 385-2423
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
APN0000005429
TN
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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