IndividualActive
Jerome Watkins, CDCA
NPI 1326653114 · Prevention Professional · Lorain, OH
Provider details
- NPI number
- 1326653114
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- Yes
- License
- RA162262 (OH)
Specialties & taxonomies
Other Service Providers
Practice location
2314 Kelly Pl
Lorain, OH 44052-4838
Phone: (440) 246-4616
Fax: (440) 246-1997
Approximate (ZIP-level) locationGet directions
Mailing address
2314 Kelly Pl
Lorain, OH 44052-4838
Registry dates
- Enumerated
- 2020-09-09
- Last updated
- 2020-09-09
- Certified
- 2020-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.