Individual
MS. JANA S. WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
910 BLACKFORD ST, CHATTANOOGA, TN 37403-1405
(423) 778-6011
(865) 539-8008
Mailing address
PO BOX 634811, CINCINNATI, OH 45263-4811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN7142
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4104260
BLUE CROSS
TN
Enumeration date
07/09/2006
Last updated
11/20/2007
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