Provider Demographics
NPI:1447592472
Name:WATSON, APRYL MICHELLE (FNP)
Entity Type:Individual
Prefix:
First Name:APRYL
Middle Name:MICHELLE
Last Name:WATSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 E BUTLER RD STE C1
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2170
Mailing Address - Country:US
Mailing Address - Phone:864-305-1662
Mailing Address - Fax:864-603-2067
Practice Address - Street 1:211 E BUTLER RD STE C1
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662
Practice Address - Country:US
Practice Address - Phone:864-305-1662
Practice Address - Fax:864-603-2067
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18140363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP4697Medicaid
SCGP4697Medicaid