person
Mrs. Deitra Mechelle Watson, MSN,APRN-BC
Family Nurse Practitioner in Columbia, South Carolina
NPI 1285869578

Deitra Mechelle Watson is a Family Nurse Practitioner based in Greenville, SC and is specialized in Family. Deitra Mechelle Watson practices in Columbia, SC and has the professional credentials of MSN,APRN-BC. The NPI Number for Deitra Mechelle Watson is 1285869578 and holds a License No. 3842 (South Carolina).

The current practice location address for Deitra Mechelle Watson is 1501 Sumter St, Columbia, SC and can be reached out via phone at 803-296-3726 and via fax at 803-296-3460.

Location: 1501 Sumter St, Columbia, SC, 29601-2842
person
Provider Profile Details
NPI Number
1285869578
Provider Name
Deitra Mechelle Watson
Credential
MSN,APRN-BC
Provider Entity Type
Individual
Gender
Female
Address
1501 Sumter St, Columbia, SC, 29601-2842
Phone Number
803-296-3726
Fax Number
803-296-3460
Provider Enumeration Date
05/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP1528 05 SC
institution
Provider Business Practice Location Address Details
Address
1501 Sumter St
City
State
Zip
29201-2829
Phone Number
803-296-3726
Fax Number
803-296-3460
person
Provider Business Mailing Address Details
Address
1501 Sumter St
City
State
Zip
29201-2829
Phone Number
803-296-3726
Fax Number
803-296-3460
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3842 (South Carolina)
Definition
Definition to come...
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