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General NPI Number Information
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NPI Number | 1881994440
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Entity Type | Individual
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Provider Name | CHARLA M WATKINS DNP, FNP-BC, BC
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Gender | Female
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Dates
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Enumeration Date | 10/29/2010
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 4125 E MISSION BLVD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4388
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Country | US
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Telephone | 479-485-3322
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Fax | 833-540-4646
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Provider Business Mailing Address
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Address Line | 4125 E MISSION BLVD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4388
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Country | US
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Telephone | 479-485-3322
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Fax | 833-540-4646
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RO51515
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | A003468
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A003468
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License Number State | AR
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