| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DR. JENELLE A. WATTS, MD PA | 1124619937 | 2021-06-07 |
The organization Dr. Jenelle A. Watts, Md Pa is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1124619937. Registration indicates Dr. Jenelle A. Watts, Md Pa is a provider of access to ob/gyn services with a specialization in Allopathic & Osteopathic Physicians, Obstetrics & Gynecology (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians)
| Address | City / State | Phone / Fax |
|---|---|---|
| 2220 Coit Rd Ste 480-221 | Plano, TX 750753797 | 2143926500 |
| Code | Practice | License No State |
|---|---|---|
| 207V00000X PRIMARY | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | |
| 193400000X SING | Group Code |
| 2021735 | MEDICAID | TX |