Whalio Doctors

NPI 1215635834

Jessie Watson, CPNP

Practitioner Nurse Practitioner Ellisville, MS

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
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 905835 (MS)

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.