NPI 1023473659
Jenna Walck
Practice location
- Address
- 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3143
- Phone
- (484) 337-3000
- Mailing address
- 4111 Idaho Ave, Nashville, TN 37209-3678
Registered specialties
Critical Care Neonatal Nurse Practitioner
Primary
Registry record
- NPI
- 1023473659
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Dec 2015
- Record last updated
- 19 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.