Watkins, Jennifer

Watkins, Jennifer is an sole proprietor health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Watkins, Jennifer can be contacted via phone (937) 395-8166.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Phone: (937) 395-8166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X COA.16430 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.16430 Ohio

Profile Details

NPI number 1649673500
LBN Legal business name Watkins, Jennifer
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2014
Last updated May 6th, 2020 - about 4 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 1649673500 NPPES
Ohio MEDICAID 0113283

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