Provider Demographics
NPI:1962973412
Name:WATKINS, MINDY LEIGH (CNP)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:LEIGH
Last Name:WATKINS
Suffix:
Gender:
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 248 HWY STE 2D
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-4078
Mailing Address - Country:US
Mailing Address - Phone:417-351-2900
Mailing Address - Fax:
Practice Address - Street 1:800 HWY 248 STE 2D
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-4078
Practice Address - Country:US
Practice Address - Phone:417-351-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-10
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR001365363LF0000X
MN8793363LF0000X
MO2023046970363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily