Watson, Christine Marie

Watson, Christine Marie is an individual health care provider with primary practice located at 104 Burney Dr , Flowood MS 39232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Watson, Christine Marie can be contacted via phone (601) 987-8200.

Contact Information

Primary practice address
104 Burney Dr Flowood MS 39232
Fax: (601) 987-8211
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R860392 Mississippi

Profile Details

NPI number 1518906551
LBN Legal business name Watson, Christine Marie
Credentials RN, BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Oct 16th, 2019 - about 5 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 1518906551 NPPES
Mississippi MEDICAID 06534072
Mississippi Other R860392
Mississippi Other P00329333

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