Individual
JAMEELA CHRISELLE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
957556
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP141149
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399138201
—
TX
01
—
399138202
MEDICAID-CSHCN
TX
Enumeration date
03/13/2019
Last updated
08/08/2019
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