NPI 1003055443

Gwendolyn Watson, FNP

Practitioner Nurse Practitioner Memphis, TN

Practice location

Address: 201 Poplar Ave, Memphis, TN 38103-1945
Phone: (901) 545-2445
Mailing address: 159 Rosemary Dr APT 6, Southaven, MS 38671-3975

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence APN0000006558 (TN)

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Registry record

NPI: 1003055443
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2009
Record last updated: 9 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.