MRS. PETA JOLLIAN WATKINS NP NPI 1134790843

NPI Information

  • NPI: 1134790843
  • Provider Name: MRS. PETA JOLLIAN WATKINS, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2727 W DR MARTIN LUTHER KING JR BLVD STE 100
    TAMPA, FL
    ZIP 33607
  • Phone: (813) 397-5300

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NPI Details

MRS. Peta Jollian Watkins, NP is an adult health nurse practitioner in Tampa, FL. MRS. Peta Jollian Watkins, NP NPI is 1134790843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2727 W DR MARTIN LUTHER KING JR BLVD STE 100
TAMPA, FL
ZIP 33607-353
Phone: (813) 397-5300
Fax: (813) 876-0590

The NPI 1134790843 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/3/2021 and was last updated on 2/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult HealthAPRN11014065FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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