Individual
JODI WATSON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2253 CHAMBLISS AVE NW STE 301, CLEVELAND, TN 37311-3961
(423) 476-5002
(423) 339-4466
Mailing address
2253 CHAMBLISS AVE NW STE 301, CLEVELAND, TN 37311-3961
(423) 476-5002
(423) 339-4466
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000020261
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022271
—
TN
Enumeration date
08/19/2015
Last updated
09/02/2020
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