Individual provider · Type 1 NPI

Thresa Kaye Watts, FNP

Family Nurse Practitioner · Jackson, MS

NPI number 1780802645 Active

Practice location

1200 N State St, Suite 500
Jackson, MS 39202-2000

Fax (601) 714-6421

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR652253 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1780802645

Thresa Kaye Watts, FNP's National Provider Identifier is 1780802645, issued on Apr 23, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Mar 12, 2018.