Individual
JADA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3921 W BASELINE RD, LAVEEN, AZ 85339-1801
(602) 764-4000
Mailing address
8356 W SHAW BUTTE DR, PEORIA, AZ 85345-8115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
326083
AZ
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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