Jayde S. Wall
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
1030 W Michigan St Fl 2
Indianapolis
, Indiana 46202-5201
Jayde S. Wall
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
1030 W Michigan St Fl 2
Indianapolis
, Indiana 46202-5201
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Jayde S. Wall
- 250 N Shadeland Ave
- Indianapolis, IN
- Zip : 46219-4959
- Phone :
Second Address
- Jayde S. Wall
- 1030 W Michigan St Fl 2
- Indianapolis, IN
- Zip : 46202-5201
- Phone : (317) 944-7241
Reviews
FAQs
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What type of doctor is Jayde S. Wall
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Is Jayde S. Wall a sole practitioner?
Is Jayde S. Wall accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2200X | Nurse Practitioner - Adult Health | 28216495A | IN |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 71009529A | IN |
National Provider Identifier
| NPI | 1013566884 |
|---|---|
| Provider Name | Jayde S. Wall |
| First Address | Indianapolis, IN 46219-4959 |
| Second Address | Indianapolis, IN 46202-5201 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2019 |
| Last Update Date | 29/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.