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1780802645
THRESA KAYE WATTS
JACKSON, MS
NPI
1780802645
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Former Name
THRESA KAYE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R652253)
Enumeration Date
2007-04-23
Last Update Date
2018-03-12
Business Address
THRESA KAYE WATTS FNP
1200 N STATE ST SUITE 500
JACKSON, MS 39202-2000
Phone number: 601-714-6411
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Mailing Address
THRESA KAYE WATTS FNP
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number: 901-227-3255
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