Individual
HOLLY A WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
2 MIRANOVA PL STE 500, COLUMBUS, OH 43215-7052
(614) 321-9743
Mailing address
2 MIRANOVA PL STE 500, COLUMBUS, OH 43215-7052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003219A
IL
363A00000X
Physician Assistant
Primary
10003219A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/17/2020
Last updated
07/28/2026
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