JESSICA WALTHALL, PPCNP-BC

PPCNP-BC

Pediatric Nurse Practitioner

NPI: 1104316454Individual

Specialties, Licenses & Credentials

Registered Nurse

Registered Nurse

Code: 163W00000X

137013(CT)727527(NY)

Pediatric Nurse PractitionerPrimary

Nurse Practitioner — Pediatrics

Code: 363LP0200X

382872(NY)

Contact & Hours

Address: 2637 BROADWAY
NEW YORK, NY 10025
Phone: (917) 921-6219

Quick Facts

NPI: 1104316454
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 3
Locations: 1

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