Provider Demographics
NPI:1437049871
Name:WATSON, NANCY (RN,BSN)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 CARRIAGE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-7516
Mailing Address - Country:US
Mailing Address - Phone:803-319-3210
Mailing Address - Fax:
Practice Address - Street 1:731 CARRIAGE LAKE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-7516
Practice Address - Country:US
Practice Address - Phone:803-319-3210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC62256163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse