Individual
JESSICA WAHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CNM, WHNP-BC
Contact information
Practice address
1382 LANES MILL RD, LAKEWOOD, NJ 08701-3892
(732) 994-4242
Mailing address
1382 LANES MILL RD, LAKEWOOD, NJ 08701-3892
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00072101
NJ
Other
Enumeration date
07/30/2020
Last updated
09/21/2020
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