NARDIA NICHOLA WATSON (NPI# 1770538860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770538860 |
| Entity Type | Individual |
| Full Name | NARDIA NICHOLA WATSON |
| Credential | MSN, FNP |
| Practice Address |
4910 Jonesboro Rd Bldg 700 Suite 1 Union City GA 30291-2085 |
| Mailing Address |
417 Harvick Cir Stockbridge GA 30281-4451 |
| Practice Telephone | 7709647736 |
| Practice Fax Number | 7703061726 |
| Mailing Telephone | 6782894819 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN150932NP | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 2477 | 05 |
| Street Address |
4910 JONESBORO RD BLDG 700 SUITE 1 |
| City | UNION CITY |
| State | GA |
| Zip Code | 30291-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376594770 | Yvonne L Smith | Pediatrics | 4910 Jonesboro Rd, Bldg. 700, Ste. 1, Union City, GA 30291-2085 | 2006-05-12 |
| 1215385992 | Dionne Tehsheen Bravo | Nurse Practitioner | 4910 Jonesboro Rd, Bldg 700, Suite 1, Union City, GA 30291-2085 | 2016-06-02 |
| 1114341757 | Tranquility Wellness Center | Internal Medicine | 4910 Jonesboro Rd, #702, Union City, GA 30291-2085 | 2014-02-18 |
| 1184048902 | Dynamic Learning Centers | Speech-Language Pathologist | 4910 Jonesboro Rd, Union City, GA 30291-2085 | 2014-02-13 |
| 1114051950 | Visions Care Adult Day Health Center, Inc | Point of Service | 4910 Jonesboro Rd, Bldg 200, Union City, GA 30291-2085 | 2007-03-15 |
| 1811938814 | Dwight D Blake | Internal Medicine | 4910 Jonesboro Rd, Bldg. 700, Ste. 1, Union City, GA 30291-2085 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801392436 | Danyell Smith | Counselor | 234 Elkhound Court, Union City, GA 30291 | 2018-04-03 |
| 1619221033 | Renee Anne Critten-young | Hospice Care, Community Based | 4788 Jonesboro Rd, Suite A, Union City, GA 30291 | 2012-11-07 |
| 1891066544 | Dena Renee White | Occupational Therapist | 9535 Lakeview Rd, Union City, GA 30291 | 2012-01-25 |
| 1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
| 1760558407 | Thelma Teresa Spears | Dentist | 4731 Jonesboro Rd, 220, Union City, GA 30291 | 2006-11-27 |
| 1629168208 | Wal-mart Stores East, Lp | Technician/Technologist | 4375 Jonesboro Rd., Union City, GA 30291 | 2006-10-13 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| 1841220944 | F & M Family Eyecare, LLC | Optometrist | 4375 Jonesboro Road, Union City, GA 30291 | 2006-07-04 |
| 1538367537 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3940 Jonesboro Rd., Union City, GA 30291-0000 | 2007-07-11 |
| 1679819692 | To The Root of Things | Durable Medical Equipment & Medical Supplies | 6077 Bena Ct, Union City, GA 30291-1044 | 2012-12-19 |
| Find all providers in zip 30291 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418276 | Laken Brooke Clanton | Nurse Practitioner | 1324 S Home St, Union City, TN 38261-5718 | 2019-10-15 |
| 1952950149 | Kawal Preet Singh | Nurse Practitioner | 2680 Cherry Blossom Way, Union City, CA 94587-4910 | 2019-09-10 |
| 1285281790 | Yanet Rivas | Nurse Practitioner | 1509 Bergenline Ave, Union City, NJ 07087-3264 | 2019-08-20 |
| 1790248102 | Sharon Y Mirante | Nurse Practitioner | 570 32nd St, Union City, NJ 07087-2434 | 2019-04-11 |
| 1699267351 | Sonya Dubose Ramsue | Nurse Practitioner | 6325 Shannon Pkwy Ste D, Union City, GA 30291-1538 | 2018-05-30 |
| 1235591959 | Kristina Pollock | Nurse Practitioner | 1705 W Reelfoot Ave, Union City, TN 38261-5569 | 2016-03-22 |
| 1437518180 | Marianne Greer Fowler | Nurse Practitioner | 1720 E. Reelfoot Ave, Suite 103, Union City, TN 38261-6048 | 2016-02-22 |
| 1700261948 | Genner Amisheonna Hunter | Nurse Practitioner | 7114 Boulder Pass, Union City, GA 30291-5135 | 2015-07-29 |
| 1437540200 | Brandi N Rose | Nurse Practitioner | 1109 E Reelfoot Ave Ste A, Union City, TN 38261 | 2015-02-13 |
| 1376832436 | Dyersburg Family Walk-in Clinic | Nurse Practitioner | 1509 E Reelfoot Ave, Union City, TN 38261-5845 | 2011-03-29 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 30291 |
Please comment or provide details below to improve the information on NARDIA NICHOLA 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.