Jayde S. Wall, NP
NPI #1013566884 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1013566884
- Entity Type
- Individual
- Name
- Jayde S. Wall, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- NP
- Enumeration Date
- Sep 5, 2019
- Last Updated
- Feb 19, 2025
Practice Location
- Address
- 1030 W MICHIGAN ST FL 2
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46202-5201
- Phone
- (317) 944-7241
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Nurse Practitioner - Gerontology — Gerontology |
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