Individual
MRS. JENNIFER L WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1100 ROUTE 72 W STE 304, MANAHAWKIN, NJ 08050-2475
(609) 978-3910
Mailing address
125 CHURCH ST, TUCKERTON, NJ 08087-2609
(609) 290-3584
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01422100
NJ
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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