Jenna Walck
Nurse Practitioner - Neonatal (Critical Care)
130 S Bryn Mawr Ave
Bryn Mawr
, Pennsylvania 19010-3143
Jenna Walck
Nurse Practitioner - Neonatal (Critical Care)
130 S Bryn Mawr Ave
Bryn Mawr
, Pennsylvania 19010-3143
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About
Features
Specialties
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Jenna Walck
- 4111 Idaho Ave
- Nashville, TN
- Zip : 37209-3678
- Phone :
Second Address
- Jenna Walck
- 130 S Bryn Mawr Ave
- Bryn Mawr, PA
- Zip : 19010-3143
- Phone : (484) 337-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 20795 | TN |
National Provider Identifier
| NPI | 1023473659 |
|---|---|
| Provider Name | Jenna Walck |
| First Address | Nashville, TN 37209-3678 |
| Second Address | Bryn Mawr, PA 19010-3143 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/12/2015 |
| Last Update Date | 19/07/2018 |
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.