NPI 1215635834
Jessie Watson, CPNP
Practice location
- Address
- 1203 B Ave, Ellisville, MS 39437-2080
- Phone
- (601) 477-3550
- Mailing address
- 287 Old Highway 84 Loop, Laurel, MS 39443-7303
Registered specialties
Nurse Practitioner
Primary
Registry record
- NPI
- 1215635834
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Feb 2023
- Record last updated
- 22 Feb 2023
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.