| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SAMANTHA JOAN WATSON | 1346997749 | 2023-03-22 |
Samantha Joan Watson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1346997749. Registration indicates Samantha Joan Watson is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Samantha Joan Watson APRN |
| Practice Office Address | 3730 7TH TER STE 204 VERO BEACH, FL US |
| Practice Office Telephone | 7725810528 |
| Practice Office Fax | 8448293327 |
| Mailing Address | PO BOX 102222 ATLANTA, GA 303682222 US |
| Business Telephone | 2394328500 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 3730 7th Ter Ste 204 | Vero Beach, FL 329607324 | 7725810528 / 8448293327 |
| 1000 36th St | Vero Beach, FL 329604862 | 7725674311 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 656511
FL |
| 114027900 | MEDICAID | FL |