Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Thomas Watson

Individual provider Physician Assistant · NPI 1417891243

Jack Thomas Watson is a Physician Assistant in Emporia, Kansas. Licensed in Kansas. Registered with an NPI since 2026.

Licensed in
KS
In the registry since
2026

Practice location Address checks out

1201 W 12th Ave
Emporia, KS 66801-2504
Phone: (620) 343-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (KS)

Record details

NPI number1417891243
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2026
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address7400 W 37th St N Apt 416, Wichita, KS 67205-3322

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