JOLISA WATSON (NPI# 1053805473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053805473 |
| Entity Type | Individual |
| Full Name | JOLISA WATSON |
| Credential | CRNP |
| Practice Address |
1845 Cherry St Montgomery AL 36107-2613 |
| Mailing Address |
2069 Russet Woods Trl Hoover AL 35244-4204 |
| Practice Telephone | 3344205001 |
| Mailing Telephone | 2055164412 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-136709 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1845 CHERRY ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36107-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265427413 | Dixie Dawn Kidd | Family Medicine | 1845 Cherry St, Montgomery, AL 36107-2613 | 2005-09-14 |
| 1851926752 | Rachel Yeonhee Kang | Dentist | 1845 Cherry St, Montgomery, AL 36107-2613 | 2020-03-11 |
| 1437711298 | Madeline Ann Broming | Nurse Practitioner | 1845 Cherry St, Montgomery, AL 36107-2613 | 2019-07-02 |
| 1407418171 | Amy Burbage | Family Medicine | 1845 Cherry St, Montgomery, AL 36107-2613 | 2019-07-02 |
| 1982175832 | David G Sahawneh | Nurse Practitioner | 1845 Cherry St, Montgomery, AL 36107-2613 | 2018-12-17 |
| 1598236176 | Alicia Lakeshia Harden | Family Medicine | 1845 Cherry St, Montgomery, AL 36107-2613 | 2018-12-07 |
| 1053867945 | Jessica Rollins | Nurse Practitioner | 1845 Cherry St, Montgomery, AL 36107-2613 | 2016-08-30 |
| 1215310040 | Jason Graham Mullins Jr. | Dentist | 1845 Cherry St, Montgomery, AL 36107-2613 | 2015-06-29 |
| 1265814958 | Constance Belser Quinn | Nurse Practitioner | 1845 Cherry St, Montgomery, AL 36107-2613 | 2015-06-18 |
| 1548655517 | Jeffery Briggs | Psychiatry & Neurology | 1845 Cherry St, Montgomery, AL 36107-3610 | 2015-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696701 | Heart2heart Transportation,llc | Non-emergency Medical Transport (VAN) | 2507 Madison Avenue, Montgomery, AL 36107 | 2020-07-16 |
| 1538638168 | Lifeline By B&v LLC | Adult Companion | 1460 Ann St Ste F, Montgomery, AL 36107 | 2018-11-13 |
| 1558545640 | Sheri R Stewart | Physical Therapist | 310 North Madison Terrace, Montgomery, AL 36107 | 2007-12-26 |
| 1619190998 | State of Alabama Dept of Mental Health & Mental Retardation | Psychiatric Hospital | 2140 Upper Wetumpka Road, Montgomery, AL 36107 | 2007-04-11 |
| 1275615601 | Wal-mart Stores East, Lp | Technician/Technologist | 851 Ann St., Montgomery, AL 36107 | 2006-10-19 |
| 1184736134 | Boatnerwerks | Pharmacy | 1751 Upper Wetumpka Road, Montgomery, AL 36107 | 2006-08-31 |
| 1518217876 | Nakeetsha Dryer | Nurse Practitioner | 2140 Upper Wetumpka Rd, Montgomery, AL 36107 | 2012-09-13 |
| 1053535294 | Helen J Thompson | Psychologist | 2140 Upper Wetumpka Road, Montomgery, AL 36107 | 2007-04-12 |
| 1295871556 | Evelyn Simpkins Evans | Pediatrics | Health Services, Inc, 1845 Cherry Street, Montgomery, AL 36107-0365 | 2007-01-30 |
| 1427521962 | Health Services, Inc | Family Medicine | 2801 Willena Ave, Montgomery, AL 36107-1055 | 2019-01-08 |
| Find all providers in zip 36107 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063735413 | Advance Health Providers LLC | Nurse Practitioner | 2460 Hanbury Ln, Montgomery, IL 60538-5049 | 2010-03-12 |
| 1194322271 | Ryan Shannon | Nurse Practitioner | 1722 Pine St Ste 700, Montgomery, AL 36106-1125 | 2020-10-02 |
| 1265976005 | Tracey England | Nurse Practitioner | 2100 Chestnut St, Montgomery, AL 36106-1113 | 2016-12-13 |
| 1841733045 | Angela Floyd | Nurse Practitioner | 1725 Pine St, Montgomery, AL 36106-1109 | 2016-11-21 |
| 1053867945 | Jessica Rollins | Nurse Practitioner | 1845 Cherry St, Montgomery, AL 36107-2613 | 2016-08-30 |
| 1063897635 | Shawona Cannon Daniel | Nurse Practitioner | 2034 Chestnut St, Montgomery, AL 36106-1111 | 2015-07-24 |
| 1861876252 | The Center for Pain of Montgomery PC | Nurse Practitioner | 2065 E South Blvd Ste 401, Montgomery, AL 36116-2462 | 2015-07-15 |
| 1033532874 | Holly Yates Vezertzis | Nurse Practitioner | 2055 E South Blvd, Suite 308, Montgomery, AL 36116-2001 | 2014-01-30 |
| 1861827669 | Lilian Ifeoma Akwuba | Nurse Practitioner | 128 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2013-09-11 |
| 1275875585 | Holly J Cluck | Nurse Practitioner | 2065 E South Blvd, Suite 201, Montgomery, AL 36116-2458 | 2013-03-25 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36107 |
Please comment or provide details below to improve the information on JOLISA WATSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.