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General NPI Number Information
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NPI Number | 1063091205
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Entity Type | Individual
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Provider Name | MONIQUE M WATSON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 4041 KNIGHT ARNOLD RD
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City | MEMPHIS
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State | TN
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Zip | 38118-2128
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Country | US
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Telephone | 901-505-0690
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Fax |
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Provider Business Mailing Address
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Address Line | 4041 KNIGHT ARNOLD RD STE 100
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City | MEMPHIS
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State | TN
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Zip | 38118-2128
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Country | US
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Telephone | 901-505-0690
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Fax | 901-367-7932
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 135847
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 30880
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 53-82464-012
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209027389
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11026933
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61422162
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License Number State | WA
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