Individual provider · Type 1 NPI

Jessie Watson, CPNP

Nurse Practitioner · Ellisville, MS

NPI number 1215635834 Active

Practice location

1203 Avenue B Ste 200
Ellisville, MS 39437-2080

Fax (601) 477-2236

Mailing address

PO Box 247
Laurel, MS 39441-0247

Other practice locations

  • 1203 B Ave, Ellisville, MS 39437-2080 · (601) 477-3550

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X905835 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1215635834

Jessie Watson, CPNP's National Provider Identifier is 1215635834, issued on Feb 22, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Ellisville, MS. The record was last updated on Oct 7, 2026.