Most Relevant Information
Provider Data
| NPI Number: | 1003055443 |
| Provider Name: | GWENDOLYN WATSON FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APN0000006558 |
Most Important Dates
| Enumeration Date: | 02/09/2009 |
| Last Updated: | 02/09/2009 |
Provider Practice Location
201 POPLAR AVE
MEMPHIS
TN
381031945
Practice Location Phone/Fax
| Phone: | 9015452445 |
| Fax: |
Provider Mailing Location
159 ROSEMARY DR APT 6
SOUTHAVEN
MS
386713975
Provider Mailing Phone/Fax
| Phone: | 6623490914 |
| Fax: |