Provider Demographics
NPI:1649399726
Name:VENN-WATSON, JUDY LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:LYNN
Last Name:VENN-WATSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18737 LUNADA PT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-1116
Mailing Address - Country:US
Mailing Address - Phone:858-487-4575
Mailing Address - Fax:858-487-4148
Practice Address - Street 1:3200 4TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-5716
Practice Address - Country:US
Practice Address - Phone:619-293-3994
Practice Address - Fax:619-295-7389
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN241918163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant