person
Christa Jo Wall, FNP-BC
Family Nurse Practitioner in Portland, Indiana
NPI 1588949762

Christa Jo Wall is a Family Nurse Practitioner based in Portland, IN and is specialized in Family. Christa Jo Wall practices in Portland, IN and has the professional credentials of FNP-BC. The NPI Number for Christa Jo Wall is 1588949762 and holds a License No. 71003894A (Indiana).

The current practice location address for Christa Jo Wall is 4501 S Boundary Pike, Portland, IN and can be reached out via phone at 765-748-5226.

Location: 4501 S Boundary Pike, Portland, IN, 47371-8940
person
Provider Profile Details
NPI Number
1588949762
Provider Name
Christa Jo Wall
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4501 S Boundary Pike, Portland, IN, 47371-8940
Phone Number
765-748-5226
Fax Number
Provider Enumeration Date
10/19/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4501 S Boundary Pike
City
State
Zip
47371-8940
Phone Number
765-748-5226
Fax Number
person
Provider Business Mailing Address Details
Address
4501 S Boundary Pike
City
State
Zip
47371-8940
Phone Number
765-748-5226
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71003894A (Indiana)
Definition
Definition to come...
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