# VANDERBILT UNIVERSITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902261860
- **Authorized official:** MS. JENNA LYNN WALCK MSN, APRN, NNP-BC (NEONATAL NURSE PRACTITIONER)
- **Authorized official phone:** (215) 808-4103

## Contact information

- **Practice address:** 1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0004
- **Practice address phone:** (615) 322-0963
- **Mailing address:** 600 JEFFERSON DR, PERKASIE, PA 18944-1052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC2000X | Children's Hospital | 20795 | TN | Yes |

## Other

- **Enumeration date:** 12/20/2015
- **Last updated:** 12/20/2015
