Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA WALTHALL, PPCNP-BC
ActiveJESSICA WALTHALL, PPCNP-BC is a Pediatric Nurse Practitioner healthcare provider located in NEW YORK, New York. NPI 1104316454 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · NEW YORK, NY
Registration Details
- NPI Number
- 1104316454
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 12, 2018 (8.2975705659494 yrs)
- Last Updated
- Jan 18, 2022
- Licenses
-
137013 (CT)727527 (NY)382872 (NY)
Practice Information
- Address
-
2637 BROADWAYNEW YORK, NY, 100255022Browse NY providers · Browse ZIP 10025
- Phone
- 9179216219
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| CAROL ANN BROWN-ALTUNA | PNP | 1134121122 |
| MRS. KIMBERLY ANN PALMER | NP | 1043293228 |
| MS. ELYSE S. FINE | C.P.N.P. | 1629051818 |
| MS. AMELIA JAN WONG | CPNP | 1699726513 |
| DORCAS KOENIGSBERGER | — | 1346294758 |
| CHRISTINE MERLE | NP | 1881649093 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.