Watson, Ja-Renda Annise

Watson, Ja-Renda Annise is an individual health care provider with primary practice located at 6363 N State Highway 161 Ste 100 , Irving TX 75038-2239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Watson, Ja-Renda Annise can be contacted via phone (469) 200-3272.

Contact Information

Primary practice address
6363 N State Highway 161 Ste 100 Irving TX 75038-2239
Phone: (469) 200-3272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 834164 Texas

Profile Details

NPI number 1205171097
LBN Legal business name Watson, Ja-Renda Annise
Credentials ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2012
Last updated Oct 3rd, 2022 - about 2 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 1205171097 NPPES
Texas MEDICAID 3259186-01

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