Provider Demographics
NPI:1184268377
Name:WATKINS, JAIME (APRN-CNP)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:
Last Name:WATKINS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11595 E 116TH ST N STE A
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74021-5474
Mailing Address - Country:US
Mailing Address - Phone:918-973-5443
Mailing Address - Fax:918-771-2741
Practice Address - Street 1:11595 E 116TH ST N STE A
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:OK
Practice Address - Zip Code:74021-5474
Practice Address - Country:US
Practice Address - Phone:918-973-5443
Practice Address - Fax:918-771-2741
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0093057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily