Individual
JADRIAN DB WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
196 COLONIAL DR, YOUNGSTOWN, OH 44505-2139
(330) 322-2348
Mailing address
196 COLONIAL DR, YOUNGSTOWN, OH 44505-2139
(330) 322-2348
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.460025
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0030687
OH
Other
Enumeration date
09/23/2021
Last updated
03/24/2022
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