Timothy R Watson
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
Acute Care And Family Clininc 351 Peoples Dr 351 Peoples Dr
Pontotoc
, Mississippi 38863
Timothy R Watson
Nurse Practitioner - Primary Care Nurse Practitioner - Family Medicine
Acute Care And Family Clininc 351 Peoples Dr 351 Peoples Dr
Pontotoc
, Mississippi 38863
(251) 604-9639
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Timothy R Watson
- 11 Cr 4091
- Oxford, MS
- Zip : 38655
- Phone : (251) 604-9639
Second Address
- Timothy R Watson
- Acute Care And Family Clininc 351 Peoples Dr 351 Peoples Dr
- Pontotoc, MS
- Zip : 38863
- Phone : (662) 489-2777
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 95003063 | CA |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 95003063 | CA |
National Provider Identifier
| NPI | 1003285461 |
|---|---|
| Provider Name | Timothy R Watson |
| First Address | Oxford, MS 38655 |
| Second Address | Pontotoc, MS 38863 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2015 |
| Last Update Date | 23/02/2016 |
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.