Jessica Walthall, PPCNP-BC
Jessica Walthall, PPCNP-BC is a Registered Nurse in New York, New York. Licensed in Connecticut and New York. Registered with an NPI since 2018.
- Licensed in
- CT, NY
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
2637 BroadwayNew York, NY 10025-5022
Phone: (917) 921-6219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nurse Practitioner (primary) | Taxonomy 363LP0200X · Licence 382872 (NY) |
|---|---|
| Registered Nurse | Taxonomy 163W00000X · Licence 137013 (CT) |
| Registered Nurse | Taxonomy 163W00000X · Licence 727527 (NY) |
Record details
| NPI number | 1104316454 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PPCNP-BC |
| Sole proprietor | No |
| NPI enumerated | May 12, 2018 |
| Last updated in NPPES | January 18, 2022 |
| Certification date | January 18, 2022 |
Payments from drug and device companies, 2025
| Food and Beverage | $56 |
|---|
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