Individual
JASON EDWARD WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
100 STONEFOREST DR STE 230, WOODSTOCK, GA 30189-4903
(470) 552-8470
(470) 437-3924
Mailing address
100 STONEFOREST DR STE 230, WOODSTOCK, GA 30189-4903
(470) 552-8470
(470) 437-3924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN219889
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP219889
GA
Other
Enumeration date
02/22/2019
Last updated
10/23/2025
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