| Doctor Name: | JILL WATSON |
| NPI Number: | 1235473265 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | 86002710 |
| Business Practice Address: | 635 E Baseline Rd Phoenix, AZ - 850426551 |
| Business Phone Number: | 6022437277 |
| Business Fax Number: | 6022431235 |
| Mailing Address: | 2702 North 3rd Street, 4020 PHOENIX |
| State: | AZ |
| Postal Code: | 850044608 |
| Phone Number: | 6023233407 |
| Fax Number: | 6023233496 |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 12/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 86002710 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |