Provider Demographics
NPI:1417576489
Name:WATKINS, ALEXANDRIA NICOLE (DNP, APRN, NP-C)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:NICOLE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:DNP, APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 MOUNTAIN PARK DR
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-4110
Mailing Address - Country:US
Mailing Address - Phone:432-264-8856
Mailing Address - Fax:
Practice Address - Street 1:908 MOUNTAIN PARK DR
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-4110
Practice Address - Country:US
Practice Address - Phone:432-264-8856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144803363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily