Individual
MRS. JESSICA NICOLE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-2154
Mailing address
48 ROXBURY DR, KENVIL, NJ 07847-2612
(973) 584-0936
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00272100
NJ
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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