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Individual

JADE ALYSE-HAWLEY WATTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1062575
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
106275
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
153573
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164268157
WV
Enumeration date
07/08/2024
Last updated
07/30/2026
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