Mrs. Jessica Watson Lott
Nurse Practitioner Nurse Practitioner - Acute Care
404 S 13th Ave
Laurel
, Mississippi 39440-4345
Mrs. Jessica Watson Lott
Nurse Practitioner Nurse Practitioner - Acute Care
404 S 13th Ave
Laurel
, Mississippi 39440-4345
(601) 579-5240
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mrs. Jessica Watson Lott
- 415 S 28th Ave
- Hattiesburg, MS
- Zip : 39401-7246
- Fax : (601) 579-5240
- Phone : (601) 268-5800
Second Address
- Mrs. Jessica Watson Lott
- 404 S 13th Ave
- Laurel, MS
- Zip : 39440-4345
- Fax : (601) 425-5525
- Phone : (601) 425-5544
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 903432 | MS |
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 903432 | MS |
National Provider Identifier
| NPI | 1013567445 |
|---|---|
| Provider Name | Mrs. Jessica Watson Lott |
| First Address | Hattiesburg, MS 39401-7246 |
| Second Address | Laurel, MS 39440-4345 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/09/2019 |
| Last Update Date | 05/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 09482003 | (05) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.