Search › Louisiana › 1223G0001X
Jonathan Waters
NPI 1568192920 · on the registry since 2022
Practice
- Address
- 2935 Highway 190
Mandeville, LA 70471 - Phone
- (985) 727-7030
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana