Individual
JESSICA MCWALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
349 E 149TH ST FL 2, BRONX, NY 10451-5603
(212) 965-7000
Mailing address
349 E 149TH ST FL 2, BRONX, NY 10451-5603
(212) 965-7000
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
657491
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421134
NY
Other
Enumeration date
04/02/2013
Last updated
07/21/2022
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