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General NPI Number Information
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NPI Number | 1891185948
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Entity Type | Individual
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Provider Name | MELISSA J. WATSON APRN
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Gender | Female
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Dates
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Enumeration Date | 01/28/2015
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 103 GALERIA BLVD
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City | SLIDELL
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State | LA
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Zip | 70458
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Country | US
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Telephone | 985-214-9079
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Fax | 985-214-9178
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Provider Business Mailing Address
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Address Line | 300 PARIS ISLAND CT
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City | SLIDELL
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State | LA
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Zip | 70458-3043
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Country | US
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Telephone | 985-960-4311
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Fax | 985-464-8398
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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 | AP08166
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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 | AP08166
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License Number State | LA
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