Jacquelyn Leah Watson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2015040599 Issued in MO

Practice address

722 Loughborough Ave
Saint Louis, MO 63111-2732

Phone

(314) 833-4030

Fax

(314) 833-4031

NPI assigned

Nov 6, 2015

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457724866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 PIPERS CT",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622213485",
            "telephone_number": "636-575-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 LOUGHBOROUGH AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112732",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Cedar Plaza Pkwy",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631283854",
            "country_code": "US",
            "telephone_number": "314-849-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JACQUELYN",
        "middle_name": "LEAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015040599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Watson, PA
• Emma Watson, MD, PHD
• Eryn Watson, DNP, CPNP-PC
• Erynn Paten Watson, M.A., CCC-SLP
• Gerold Watson, LMSW
• Jermaine Andre Watson, LPC
• John T Watson, MD
• Kelsie Anne Watson, FNP, DNP
• Lacrisha Watson
• Laura M Watson, RN

• Family Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.