Individual provider · Type 1 NPI
Stephanie Watson
Pediatric Nurse Practitioner · Lebanon, KY
NPI number
1235902305
Active
Practice location
311 W High Street
Lebanon, KY 40033-1427
Fax (270) 692-3863
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4009896 (KY) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1235902305
Stephanie Watson's National Provider Identifier is 1235902305, issued on Nov 1, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lebanon, KY. The record was last updated on Nov 2, 2023.