Individual provider · Type 1 NPI
Jacquelyn Leah Watson, FNP-C
Family Nurse Practitioner · St. Louis, MO
NPI number
1457724866
Active
Practice location
722 Loughborough Ave
St. Louis, MO 63111-2732
Fax (314) 833-4031
Mailing address
2712 Pipers Ct
Belleville, IL 62221-3485
Other practice locations
- 5000 Cedar Plaza Pkwy, Suite 300, St. Louis, MO 63128-3854 · (314) 849-7669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2015040599 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1457724866
Jacquelyn Leah Watson, FNP-C's National Provider Identifier is 1457724866, issued on Nov 6, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 21, 2022.