Individual
JADE ALYSE-HAWLEY WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 LAMBERT DR APT 2, HURRICANE, WV 25526-1185
(304) 741-5082
Mailing address
792 CHASE DR, HURRICANE, WV 25526-7372
(304) 741-5082
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1062575
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
153573
WV
Other
Enumeration date
07/08/2024
Last updated
06/25/2025
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