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NPI Code Detail

MEDICARE: EMMA DELORES WATSON NURSE

MEDICARE:   EMMA DELORES WATSON  NURSE
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
1174400000XSpecialistPN5269290FL

General Provider Information

NPI Number : 1639034721
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA DELORES WATSON NURSE
Provider Business Mailing Address
First Line : 509 NARNIA CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2023
Country : US
Telephone Number : 863-249-2220
Fax Number :
Provider Business Practice Location Address
First Line : 509 NARNIA CT
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2023
Country : US
Telephone Number : 863-249-2220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 12/19/2025

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Directions to “ EMMA DELORES WATSON NURSE” Practice Location

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