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Mr. Jerome Bradfield Watson, GNP
Nurse Practitioner in Texarkana, Texas
NPI 1538162045

Jerome Bradfield Watson is a Nurse Practitioner based in Texarkana, TX. Jerome Bradfield Watson practices in Texarkana, TX and has the professional credentials of GNP. The NPI Number for Jerome Bradfield Watson is 1538162045 and holds a License No. 605190 (Texas).

The current practice location address for Jerome Bradfield Watson is 7209 Goldfinch Rd, Texarkana, TX and can be reached out via phone at 903-334-8132 and via fax at 903-334-8146.

Location: 7209 Goldfinch Rd, Texarkana, TX, 75501-0227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538162045
Provider Name
Jerome Bradfield Watson
Credential
GNP
Provider Entity Type
Individual
Gender
Male
Address
7209 Goldfinch Rd, Texarkana, TX, 75501-0227
Phone Number
903-334-8132
Fax Number
903-334-8146
Provider Enumeration Date
05/30/2005
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100082540A 05 OK
500004259 01 TX RAILROAD MEDICARE
P00267929 01 TX TX RAILROAD MEDICARE
029325001 05 TX
5U081 01 AR MEDICARE - LEGACY NUMBER
145430758 05 AR
160262762 05 AR
29325004 05 TX
029325002 05 TX
500004259 01 AR RAILROAD MEDICARE
8D9579 01 TX MEDICARE - LEGACY NUMBER
institution
Provider Business Practice Location Address Details
Address
7209 Goldfinch Rd
City
Texarkana
State
Texas
Zip
75501-0227
Phone Number
903-334-8132
Fax Number
903-334-8146
person
Provider Business Mailing Address Details
Address
7209 Goldfinch Rd
City
Texarkana
State
Texas
Zip
75501-0227
Phone Number
903-334-8132
Fax Number
903-334-8146
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
AP108606 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
605190 (Texas)
Definition
Definition to come...
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