Individual
MRS. JANA HOLLAND WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(252) 752-2140
Mailing address
2430 EMERALD PL STE 201, GREENVILLE, NC 27834-5743
(252) 752-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
136749
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
051789
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275602997
TRICARE
NC
05
—
8052846
—
NC
01
—
P00416198
RAILROAD MEDICARE
NC
Enumeration date
11/07/2006
Last updated
11/11/2024
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