Individual
MS. JODY A WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
999 ROUTE 73 N STE 401, MARLTON, NJ 08053-1227
(800) 321-9999
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(484) 214-6604
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00532700
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
SP014103
PA
Other
Enumeration date
08/15/2014
Last updated
05/24/2023
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