person
Jayde S. Wall, NP
Gerontology Nurse Practitioner in Indianapolis, Indiana
NPI 1013566884

Jayde S. Wall is a Gerontology Nurse Practitioner based in Indianapolis, IN and is specialized in Gerontology. Jayde S. Wall practices in Indianapolis, IN and has the professional credentials of NP. The NPI Number for Jayde S. Wall is 1013566884 and holds a License No. 28216495A (Indiana).

The current practice location address for Jayde S. Wall is 1030 W Michigan St Fl 2, Indianapolis, IN and can be reached out via phone at 317-944-7241.

Location: 1030 W Michigan St Fl 2, Indianapolis, IN, 46219-4959
person
Provider Profile Details
NPI Number
1013566884
Provider Name
Jayde S. Wall
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1030 W Michigan St Fl 2, Indianapolis, IN, 46219-4959
Phone Number
317-944-7241
Fax Number
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1030 W Michigan St Fl 2
City
State
Zip
46202-5201
Phone Number
317-944-7241
Fax Number
person
Provider Business Mailing Address Details
Address
1030 W Michigan St Fl 2
City
State
Zip
46202-5201
Phone Number
317-944-7241
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
71009529A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
28216495A (Indiana)
Definition
Definition to come...
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