Healthcare Provider Details

I. General information

NPI: 1255175857
Provider Name (Legal Business Name): CHANTEL F WATSON APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 BIENVILLE ST STE 4
NEW ORLEANS LA
70112-3183
US

IV. Provider business mailing address

7630 ARBOR DR
NEW ORLEANS LA
70126-3002
US

V. Phone/Fax

Practice location:
  • Phone: 504-332-8962
  • Fax:
Mailing address:
  • Phone: 504-292-6055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number215588
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number215588
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: