Provider Demographics
NPI:1396013280
Name:WATKINS, CHRISTY (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:
Last Name:WATKINS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PROVIDENCE HILL DR
Mailing Address - Street 2:APT 21
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-2241
Mailing Address - Country:US
Mailing Address - Phone:606-615-2703
Mailing Address - Fax:
Practice Address - Street 1:201 PROVIDENCE HILL DR
Practice Address - Street 2:APT 21
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-2241
Practice Address - Country:US
Practice Address - Phone:606-615-2703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH137608164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse