MR. SETH WATSON NPI 1659017374

NPI Information

  • NPI: 1659017374
  • Provider Name: MR. SETH WATSON
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12443 SAN JOSE BLVD STE 604
    JACKSONVILLE, FL
    ZIP 32223
  • Phone: (904) 444-4625

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NPI Details

MR. Seth Watson is a psychiatric/mental health nurse practitioner in Jacksonville, FL with 3 years of experience. MR. Seth Watson NPI is 1659017374. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12443 SAN JOSE BLVD STE 604
JACKSONVILLE, FL
ZIP 32223-652
Phone: (904) 444-4625
Fax: (904) 734-7410

The NPI 1659017374 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 5/5/2022 and was last updated on 9/7/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health74098IDAHONo
2363LP0808XNurse PractitionerPsychiatric/Mental Health50835WYOMINGNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health089637-23NEW HAMPSHIRENo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthR53168NORTH DAKOTANo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthL8-0010372DELAWARENo
6364SP0808XClinical Nurse SpecialistPsychiatric/Mental Health1096480TEXASNo
7363LP0808XNurse PractitionerPsychiatric/Mental Health53-81592-042KANSASNo
8363LP0808XNurse PractitionerPsychiatric/Mental Health11021532FLORIDAYes

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: 11/21/2025

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