Individual
JACQUELINE A. WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
799 GAY ST, PHOENIXVILLE, PA 19460-4409
(610) 933-2440
(610) 935-7757
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
VP005895T
PA
Other
Enumeration date
07/19/2006
Last updated
07/01/2024
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