Deitra Mechelle Watson, MSN, APRN-BC
Nurse Practitioner, Family in Columbia, SC. Individual provider (NPI-1).
NPI number1285869578
StatusActive
Last updated in NPPESApr 7, 2022
Details
- NPI
- 1285869578
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Deitra Mechelle Watson
- Credential
- MSN, APRN-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2009
- Certification date
- Apr 7, 2022
- Last updated
- Apr 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3842 | SC | Yes |
Practice location
1501 Sumter StColumbia, SC 29201-2829
Phone 803-296-3726 · Fax 803-296-3460
Mailing address
300 E McBee Ave Fl 4Greenville, SC 29601-2842
Phone 865-522-8603
Other practice locations
1853 Greenwyche Ave
Columbia, SC 29210-6123
Columbia, SC 29210-6123
Phone 803-731-0069
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