Provider Demographics
NPI:1659770527
Name:WATSON, CHARLA RENAE (MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CHARLA
Middle Name:RENAE
Last Name:WATSON
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 BEXAR AVE EAST
Mailing Address - Street 2:P.O. BOX 173
Mailing Address - City:HAMILTON
Mailing Address - State:AL
Mailing Address - Zip Code:35570-2282
Mailing Address - Country:US
Mailing Address - Phone:205-921-1550
Mailing Address - Fax:205-921-1550
Practice Address - Street 1:206 BEXAR AVE E
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:AL
Practice Address - Zip Code:35570-4013
Practice Address - Country:US
Practice Address - Phone:205-921-1550
Practice Address - Fax:205-921-1145
Is Sole Proprietor?:No
Enumeration Date:2014-08-17
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-126064163W00000X
MSR892944163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse