Jordan Watterson

Pharmacist · Saint Augustine, FL

Individual Active NPI

NPI number 1215532825

Practice location

2703 N Ponce De Leon Blvd
Saint Augustine, FL 32084-2603
Phone
(904) 824-2838

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NPI record

NPI
1215532825
Entity type
Individual (Type 1)
Enumeration date
December 1, 2020
Last updated
December 1, 2020
Certified
December 1, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS59424 FL

About Jordan Watterson

Jordan Watterson is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603. The NPI number 1215532825 was assigned on December 1, 2020 and the record was last updated on December 1, 2020.

Jordan Watterson lists a license in the registry: #PS59424 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jordan Watterson?

The NPI number is 1215532825.

What is the phone number of Jordan Watterson?

The phone number listed for the practice location is (904) 824-2838.

Where is Jordan Watterson located?

2703 N Ponce De Leon Blvd, Saint Augustine, FL 32084-2603.

What is the taxonomy code for Jordan Watterson?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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