Provider Demographics
NPI:1891582110
Name:WATTS, JENNIFER (APRN-CNP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:WATTS
Suffix:
Gender:
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 1:9038 VILLA HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:GREENWELL SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70739-4664
Mailing Address - Country:US
Mailing Address - Phone:225-938-7183
Mailing Address - Fax:
Practice Address - Street 1:9038 VILLA HAVEN DR
Practice Address - Street 2:
Practice Address - City:GREENWELL SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70739-4664
Practice Address - Country:US
Practice Address - Phone:225-938-7183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA240377363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily