Individual ProviderJennette WattsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address348 N Bluff St # 202, St George, UT 84770-4832(435) 772-5370PECOS EnrollmentBased on the most recent information from CMS, provider Jennette Watts does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1124571187Provider TypeIndividualFull NameWatts, JennetteGenderFemaleSole ProprietorYesEnumeration Date7/26/2016Last Updated7/26/2016Contact InformationPractice LocationPractice Address348 N Bluff St # 202, St George, UT 84770-4832Phone(435) 772-5370FaxUnlisted FaxMailing LocationMailing Address3770 Carribbean Circle, St George, UT 84790Phone(435) 772-5370FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1891478900UtahProvider IdentifiersIDDescriptionIssuerID1891478900DescriptionMedicaidIssuerUnlistedUtah