Individual
COURTNEY JAYNE WALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, DNS-CT
Contact information
Practice address
10820 PARK PL, SAINT JOHN, IN 46373-8630
(219) 240-9278
Mailing address
10820 PARK PL, SAINT JOHN, IN 46373-8630
(219) 240-9278
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041444046
IL
163W00000X
Registered Nurse
Primary
28250383A
IN
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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