Jenna Marie Watkins, AGACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN222833 Issued in GA

Practice address

1101 Hillcrest Pkwy
Dublin, GA 31021-3562

Phone

(478) 272-0023

NPI assigned

Nov 17, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1134633787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 TELFAIR COUNTY LINE RD",
            "city": "RHINE",
            "state": "GA",
            "postal_code": "310771701",
            "telephone_number": "478-231-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HILLCREST PKWY",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213562",
            "telephone_number": "478-272-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN222833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warriors Wellness and Recovery Ranch, Inc.
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• Berrien Raymond Waters, M.D.
• Chakina Latasha Watkins
• Miranda Watkins, LMSW
• We-Touch Visiting Caregivers, Inc
• Ursula Megan Webb, RPH, PHARMD
• Noel Douglas Weigel, D.O.
• Lanie Welch, FNP-C

• Nurse Practitioner in Dublin, GA
• Providers in Dublin, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.