Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christa Jo Wall, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1588949762

Christa Jo Wall, FNP-BC is a Family Nurse Practitioner in Portland, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4501 S Boundary Pike
Portland, IN 47371-8940
Phone: (765) 748-5226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71003894A (IN)

Record details

NPI number1588949762
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 19, 2011
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

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