IndividualActive
Nicole Watkins
NPI 1114492287 · Assisted Living Facility · Greenville, MS
Provider details
- NPI number
- 1114492287
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1766 Old Leland Rd
Greenville, MS 38703-2742
Phone: (662) 537-4976
Fax: (662) 537-4977
Approximate (ZIP-level) locationGet directions
Mailing address
1766 Old Leland Rd
Greenville, MS 38703-2742
Registry dates
- Enumerated
- 2018-10-04
- Last updated
- 2018-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.