Individual
JENNA RAE WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1067 ISAACS AVE, WALLA WALLA, WA 99362-2040
(509) 525-5561
Mailing address
41 FRANCIS DR, WALLA WALLA, WA 99362-2515
(631) 505-8237
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
RN60773657
WA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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