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General NPI Number Information
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NPI Number | 1639506835
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Entity Type | Individual
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Provider Name | JANE' M WATTS FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 4520 WICHERS DR SUITE 205
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City | MARRERO
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State | LA
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Zip | 70072-3135
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Country | US
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Telephone | 504-754-2334
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Fax | 504-324-2078
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Provider Business Mailing Address
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Address Line | 8 ENGLISH TURN DR
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City | NEW ORLEANS
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State | LA
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Zip | 70131-3305
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Country | US
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Telephone | 504-345-5792
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP07532
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP07532
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License Number State | LA
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