Provider Demographics
NPI:1043794670
Name:WATTS, MEGAN D (PA-C)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:D
Last Name:WATTS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:225-765-3456
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:7777 HENNESSY BLVD STE 501B
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4300
Practice Address - Country:US
Practice Address - Phone:225-765-3456
Practice Address - Fax:225-743-2346
Is Sole Proprietor?:No
Enumeration Date:2018-09-19
Last Update Date:2023-11-08
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Provider Licenses
StateLicense IDTaxonomies
LA310466363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant