JENNIFER GOOLSBY WATSON (NPI# 1619293867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619293867 |
| Entity Type | Individual |
| Full Name | JENNIFER GOOLSBY WATSON |
| Credential | ARNP |
| Practice Address |
2970 W Us Highway 90 Suite 120 Lake City FL 32055-4700 |
| Practice Telephone | 3867559675 |
| Practice Fax Number | 3867558770 |
| Mailing Telephone | 3867559675 |
| Mailing Fax Number | 3867558770 |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN193806 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9268061 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487974 | Jennifer Watson | Technician | 3874 Audra Park Rd, Belington, WV 26250-7476 | 2020-08-11 |
| 1407313307 | Jennifer N Watson | Developmental Therapist | 4355 Country View Dr, Floyds Knobs, IN 47119-9313 | 2019-02-27 |
| 1881166676 | Jennifer Marie Watson | Social Worker | 1436 U St Nw Ste 303, Washington, DC 20009-3988 | 2018-12-18 |
| 1891202164 | Jennifer Watson | Occupational Therapist | 2920 Vienna Rd, Charlestown, IN 47111-8410 | 2018-01-08 |
| 1841748076 | Jennifer N. Watson | Nurse Practitioner | 3950 Beaubien - Ground Fl, Children's Hospital of Mi, Detroit, MI 48201-2153 | 2016-09-16 |
| 1831454842 | Jennifer B Watson | Physical Therapy Assistant | 228 Fireside Ln, Mount Airy, NC 27030-7638 | 2012-07-06 |
| 1427329929 | Jennifer M Watson | Physical Therapist | 1220 Berard St Ste B, Breaux Bridge, LA 70517-4865 | 2012-01-16 |
| 1083992762 | Jennifer J. Watson | Social Worker | 10755 Ambassador Dr Ste 201, Manassas, VA 20109-2527 | 2011-07-28 |
| 1235390352 | Jennifer M Watson | Psychologist | 5341 Sw 91st Ter, Gainesville, FL 32608-8108 | 2008-06-20 |
| 1821280041 | Jennifer Watson | Speech-Language Pathologist | 8 Inkberry Ln, Harwich, MA 02645-1707 | 2007-08-11 |
| Street Address |
2970 W US HIGHWAY 90 SUITE 120 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083275648 | Eugene Lee | Dentist | 2970 W Us Highway 90, Lake City, FL 32055-4700 | 2019-06-25 |
| 1821542366 | Pavneet Bains | Dentist | 2970 W Us Highway 90, Lake City, FL 32055-4700 | 2016-08-13 |
| 1548642887 | Ashley R Baptiste | Dentist | 2970 W Us Highway 90, Lake City, FL 32055-4700 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841760816 | Timothy Paul Cassidy Jr. | Nurse Practitioner | 289 Sw Stonegate Ter Ste 103, Lake City, FL 32024-3457 | 2018-12-03 |
| 1841611407 | Magnolia Adult | Nurse Practitioner | 1211 Sw Bascom Norris Dr Ste 201, Lake City, FL 32025-4916 | 2013-12-30 |
| 1033477567 | Magnolia Adult | Nurse Practitioner | 1140 Sw Bascom Norris Dr Ste 105, Lake City, FL 32025-1329 | 2012-05-03 |
| 1831266394 | Elizabeth Teuscher Beardsley | Nurse Practitioner | 204 Nw Emporia Gln, Lake City, FL 32055-8516 | 2006-11-29 |
| 1861018988 | Tymber Tatum Terrell | Nurse Practitioner | 410 Sw Silver Palm Dr, Lake City, FL 32024-6757 | 2020-06-24 |
| 1942706452 | Ariel Parnell | Nurse Practitioner | 4367 Nw American Ln, Lake City, FL 32055-4828 | 2018-04-03 |
| 1821538315 | Stephanie Sapp | Nurse Practitioner | 1531 Sw Commercial Gln, Lake City, FL 32025-0454 | 2017-03-02 |
| 1023550696 | Antranika D. Ross | Nurse Practitioner | 2055 Rex Rd, Lake City, GA 30260-3944 | 2016-11-13 |
| 1164769675 | Florida Dermcare, Inc. | Nurse Practitioner | 204 Nw Emporia Gln, Lake City, FL 32055-8516 | 2013-01-04 |
| 1306097076 | Tonna Jeanette Sotolongo | Nurse Practitioner | 619 S Marion Ave, Lake City, FL 32025-5808 | 2008-09-30 |
| Find all providers in LAKE CITY | ||||
Please comment or provide details below to improve the information on JENNIFER GOOLSBY WATSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.