Lott, Jessica Watson

Lott, Jessica Watson is an individual health care provider with primary practice located at 404 S 13Th Ave , Laurel MS 39440-4345. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Lott, Jessica Watson can be contacted via phone (601) 425-5544.

Contact Information

Primary practice address
404 S 13Th Ave Laurel MS 39440-4345
Phone: (601) 425-5544
Fax: (601) 425-5525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 903432 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 903432 Mississippi

Profile Details

NPI number 1013567445
LBN Legal business name Lott, Jessica Watson
Credentials AGACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2019
Last updated Jun 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013567445 NPPES
Mississippi MEDICAID 09482003

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