Doctor Name: | KIMBERLY ANN WATSON |
NPI Number: | 1013235399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-C |
License Number: | 26NJ00289300 |
Business Practice Address: | 302 Hurffville Crosskeys Rd Suite-a1 Sewell, NJ - 080809206 |
Business Phone Number: | 8565894610 |
Business Fax Number: | 8565891624 |
Mailing Address: | 302 Hurffville Crosskeys Rd, Suite-a1 SEWELL |
State: | NJ |
Postal Code: | 080809206 |
Phone Number: | 8565894610 |
Fax Number: | 8565891624 |
NPI Enumeration Date: | 05/11/2010 |
NPI Last Update Date: | 01/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00289300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |