Provider Demographics
NPI:1881994440
Name:WATKINS, CHARLA M (DNP, FNP-BC, BC)
Entity type:Individual
Prefix:DR
First Name:CHARLA
Middle Name:M
Last Name:WATKINS
Suffix:
Gender:
Credentials:DNP, FNP-BC, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 E MISSION BLVD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4388
Mailing Address - Country:US
Mailing Address - Phone:479-485-3322
Mailing Address - Fax:833-540-4646
Practice Address - Street 1:4125 E MISSION BLVD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4388
Practice Address - Country:US
Practice Address - Phone:479-485-3322
Practice Address - Fax:833-540-4646
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARRO51515163WP0808X
ARA003468163WP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health