MRS. JESSICA LEIGH WATSON (NPI# 1932437662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932437662 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LEIGH WATSON |
| Credential | PA-C |
| Practice Address |
2114 Highway 41 Ste 105 Mount Pleasant SC 29466 |
| Mailing Address |
2114 Highway 41 Ste 105 Mount Pleasant SC 29466-6201 |
| Practice Telephone | 8433889000 |
| Practice Fax Number | 8433886937 |
| Mailing Telephone | 8433889000 |
| Mailing Fax Number | 8433886937 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2054 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
C0004103 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | SC3066I711 | 01 |
| SC | 1848PA | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2550 Elms Center Rd, North Charleston, SC 294069844 | 8433028840 | 8438182188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1114491214 | Jessica Crook Watson | Nurse Practitioner | 4760 Eastern Valley Rd Ste 102, Mc Calla, AL 35111-3457 | 2019-01-11 |
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1437440435 | Jessica S Watson | Ophthalmology | 15 Lowell Street, Portland, ME 04102-2726 | 2011-04-25 |
| 1316583966 | Jessica A Watson | Behavior Technician | 602 E Park Ave, Anaconda, MT 59711-2469 | 2019-11-19 |
| 1316444250 | Jessica Watson | Student in an Organized Health Care Education/Training Program | 2425 Geary Blvd, San Francisco, CA 94115-3358 | 2018-04-08 |
| 1124546239 | Jessica Danielle Watson | Behavioral Analyst | 1704 Westland Rd, Cheyenne, WY 82001 | 2017-09-08 |
| 1316462666 | Jessica Watson | Nurse Practitioner | 106 Mccrary Ave, Roberta, GA 31078-4916 | 2017-08-08 |
| 1861922825 | Jessica Nicole Watson | Counselor | 1305 W Jefferson St, Waxahachie, TX 75165-2269 | 2017-06-13 |
| 1528590270 | Jessica Watson | Nurse Practitioner | 1806 W Pleasant Ridge Rd, Arlington, TX 76015-4530 | 2017-03-31 |
| Street Address |
2114 HIGHWAY 41 STE 105 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003266941 | Ashley Nicole Curtis | Family Medicine | 2114 Highway 41 Ste 105, Mount Pleasant, SC 29466-6204 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857377 | Taryn Marie Enea | Physician Assistant | 1300 Appling Dr Unit 306, Mount Pleasant, SC 29464-4886 | 2015-12-28 |
| 1912903212 | Mountain Town Family Practice | Physician Assistant | 308 W Michigan St, Mount Pleasant, MI 48858-2410 | 2005-06-22 |
| 1689281958 | Jade Elizabeth Weeks | Physician Assistant | 8560 Cook St, Mount Pleasant, NC 28124-7686 | 2020-09-30 |
| 1760804256 | Sarette Noelle Jenderny | Physician Assistant | 180 Wingo Way, Suite 207, Mount Pleasant, SC 29464-1810 | 2014-01-17 |
| 1497996847 | Toby Cason | Physician Assistant | 305 W 20th St, Mount Pleasant, TX 75455-2327 | 2009-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639712482 | Brianna Julia Starr | Physician Assistant | 1403 E Greenville St Ste B, Anderson, SC 29621-2285 | 2019-10-24 |
| 1255974655 | Kaitlyn T Brown | Physician Assistant | 808 Farrar Drive, Conway, SC 29526-8747 | 2019-10-18 |
| 1053960914 | Chad Waddell | Physician Assistant | 107 Walnut Ln, North Augusta, SC 29860-8629 | 2019-09-04 |
| 1508429317 | Charlotte H. Hanna | Physician Assistant | 800 E Cheves St Ste 380, Florence, SC 29506-2649 | 2019-04-17 |
| 1407342116 | Thrive Essential Wellness, Inc. | Physician Assistant | 1511 9th Ave Ste A, Conway, SC 29526-4126 | 2018-07-05 |
| 1700392495 | Stephanie Meyer | Physician Assistant | 5 Medical Park Road Palmetto Health, Columbia, SC 29203 | 2017-12-18 |
| 1073022612 | Gina Marie Sanitato | Physician Assistant | 1300 Hospital Dr Ste 300, Mt Pleasant, SC 29464-3217 | 2017-09-27 |
| 1659896264 | Morgan N Warthan | Physician Assistant | Gateway Family Medicine, 406 N Poinsett Hwy, Travelers Rest, SC 29690-1667 | 2017-08-04 |
| 1366994824 | Colonial Family Practice, LLC | Physician Assistant | 3750 Savannah Hwy Ste I, Johns Island, SC 29455-7909 | 2016-11-01 |
| 1457804080 | Mcleod Physician Associates II | Physician Assistant | 945 82nd Pkwy Ste 3, Myrtle Beach, SC 29572-4612 | 2016-08-01 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 29466 |
Please comment or provide details below to improve the information on MRS. JESSICA LEIGH 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.