MR. SETH WATSON NPI 1659017374

NPI Information

NPI: 1659017374
Provider Name: MR. SETH WATSON
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
12443 SAN JOSE BLVD STE 604
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 444-4625
Get Directions

MR. Seth Watson is a psychiatric/mental health nurse practitioner in Jacksonville, FL with 2 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 10/20/2023.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	50835	WYOMING	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	74098	IDAHO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	089637-23	NEW HAMPSHIRE	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	R53168	NORTH DAKOTA	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	53-81592-042	KANSAS	No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	L8-0010372	DELAWARE	No
7	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	1096480	TEXAS	No
8	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	11021532	FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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