MALORY WATSON (NPI# 1932567997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932567997 |
| Entity Type | Individual |
| Full Name | MALORY WATSON |
| Credential | MSN, WHNP-BC |
| Practice Address |
706 W Grove St El Dorado AR 71730-4416 |
| Practice Telephone | 8708638444 |
| Practice Fax Number | 8708637540 |
| Mailing Telephone | 8708638444 |
| Mailing Fax Number | 8708637540 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
A004523 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
706 W GROVE ST |
| City | EL DORADO |
| State | AR |
| Zip Code | 71730-4416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366487811 | South Arkansas Womens Clinic Plc | Obstetrics & Gynecology | 706 W Grove St, El Dorado, AR 71730-4416 | 2006-06-18 |
| 1053713867 | Kelly Cook | Radiologic Technologist | 706 W Grove St, El Dorado, AR 71730-4416 | 2014-09-23 |
| 1396773735 | Donya Burroughs Watson | Family Medicine | 706 W Grove St, El Dorado, AR 71730-4416 | 2006-06-28 |
| 1063449692 | John Baxter Ratcliff | Obstetrics & Gynecology | 706 W Grove St, El Dorado, AR 71730-4416 | 2006-06-27 |
| 1720015373 | John Gregory Booker | Obstetrics & Gynecology | 706 W Grove St, El Dorado, AR 71730-4416 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
| 1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
| 1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
| 1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
| 1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
| 1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
| 1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
| 1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
| 1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
| 1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
| Find all providers in zip 71730 | ||||
| Taxonomy Code | 364SW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373283 | Amber Smith | Clinical Nurse Specialist | 12921 Cantrell Rd, Suite 300, Little Rock, AR 72223-1713 | 2014-03-17 |
| 1760673875 | Deborah Ann Mcalister | Clinical Nurse Specialist | 1425 Rock Springs Rd, Harrison, AR 72601-8933 | 2007-08-05 |
Please comment or provide details below to improve the information on MALORY 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.