Watson, Jennifer A

Watson, Jennifer A is an individual health care provider with primary practice located at 714 W Appleway Ave Ste 200 , Coeur D Alene ID 83814-9330. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Watson, Jennifer A can be contacted via phone (208) 665-1552.

Contact Information

Primary practice address
714 W Appleway Ave Ste 200 Coeur D Alene ID 83814-9330
Phone: (208) 665-1552
Fax: (208) 665-1558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP438A Idaho

Profile Details

NPI number 1750344834
LBN Legal business name Watson, Jennifer A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Nov 17th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750344834 NPPES
Idaho MEDICAID 805997200
Idaho MEDICAID 805997201
Idaho MEDICAID 805997202
Idaho MEDICAID 805997203

Popular Providers