Individual provider · Type 1 NPI

Lisa M. Watson

Nurse Practitioner · Pontiac, IL

NPI number 1982797254 Active

Practice location

1506 W Reynolds St
Pontiac, IL 61764

Fax (815) 844-7851

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	041217560/209002332 (IL)

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…

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About NPI 1982797254

Lisa M. Watson's National Provider Identifier is 1982797254, issued on Oct 1, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pontiac, IL. The record was last updated on Feb 28, 2011.