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NPI Code Detail

MEDICARE: SABRINA JULIANNE WATKINS PMHNP, RN

MEDICARE: SABRINA JULIANNE WATKINS PMHNP, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024177311VA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAC002849MD
3363LP0808XPsychiatric/Mental Health Nurse PractitionerAP126023TX

General Provider Information

NPI Number : 1598174633
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA JULIANNE WATKINS PMHNP, RN
Provider Business Mailing Address
First Line : 1430 COLLIER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78704-2911
Country : US
Telephone Number : 512-472-4357
Fax Number : 512-703-1394
Provider Business Practice Location Address
First Line : 6222 N LAMAR BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78752-4004
Country : US
Telephone Number : 512-472-4357
Fax Number : 512-703-1390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2014
Last Update Date : 09/12/2019

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