Individual
JAWANA LYNN WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
885 UNION BLVD, ENGLEWOOD, OH 45322-2102
(937) 832-4091
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
026501
OH
Other
Enumeration date
04/07/2020
Last updated
05/15/2025
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