| Doctor Name: | MS. BEVERLY DAWN WATKINS |
| NPI Number: | 1154557957 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | APN0000149009 |
| Business Practice Address: | 1362 N Gateway Ave Rockwood, TN - 378544108 |
| Business Phone Number: | 8653541220 |
| Business Fax Number: | 8653549446 |
| Mailing Address: | 1362 N Gateway Ave, ROCKWOOD |
| State: | TN |
| Postal Code: | 378544108 |
| Phone Number: | 8653541220 |
| Fax Number: | 8653549446 |
| NPI Enumeration Date: | 06/08/2009 |
| NPI Last Update Date: | 06/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | APN0000149009 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |