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JACQUELYN LEAH WATSON FNP-C
NPI 1457724866
Nurse Practitioner - Family in Saint Louis, MO

Active since November 06, 2015
722 LOUGHBOROUGH AVE, SAINT LOUIS, MO 63111(314) 833-4030(314) 833-4031 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 17, 2017 (3 updates tracked since 2017).

About Jacquelyn Leah Watson Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELYN LEAH WATSON FNP-C (NPI 1457724866) is an individual family provider in Saint Louis, Missouri, licensed in Missouri (2015040599) and active in the NPI registry since November 2015. She maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1457724866
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELYN LEAH WATSONCredential: FNP-C
Location Address722 LOUGHBOROUGH AVESaint Louis, MO 63111-2732
Mailing Address2712 Pipers CtBelleville, IL 62221-3485 · (636) 575-0582
Phone(314) 833-4030
Fax(314) 833-4031
Sole ProprietorNo
Enumeration DateNovember 6, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1457724866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2015040599
722 LOUGHBOROUGH AVE, Saint Louis, MO 63111
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Secondary Practice Location 1

Location 15000 Cedar Plaza Pkwy, Suite 300Saint Louis, MO 63128-3854 · Phone (314) 849-7669

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HEATHER NOELLE WADE ARNP
Nurse Practitioner (Family)
722 LOUGHBOROUGH AVE
SAINT LOUIS, MO 63111
St. Louis City (314) 833-4030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacquelyn Watson's NPI number?

The NPI number for Jacquelyn Watson is 1457724866. It was assigned to this individual provider in the NPPES registry on November 6, 2015.

Where is Jacquelyn Watson located?

Jacquelyn Watson practices at 722 Loughborough Ave, Saint Louis, MO 63111. The listed phone number is (314) 833-4030.

What is Jacquelyn Watson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacquelyn Watson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.