Christa Jo Wall FNP-BC

NPI 1588949762 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1588949762
Gender Female
Enumeration Date 10/19/2011
Last Updated 01/22/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
124 N JEFFERSON ST
RELIANT HEALTHCARE
HARTFORD CITY IN, 47348-2201, US
Phone (765) 347-8279
Fax (765) 347-8287
Business Location
124 N JEFFERSON ST
RELIANT HEALTHCARE
HARTFORD CITY IN, 47348-2201, US
Phone (765) 347-8279
Fax (765) 347-8287
Toxanomy
Taxonomy Code 363LF0000X
License State Indiana
License Number 71003894A
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According to our database, Christa Jo Wall FNP-BC NPI is 1588949762, taxonomy code is 363LF0000X and license number is 71003894A, license state is located at Indiana. Christa Jo Wall FNP-BC physically located at 124 N Jefferson St, Hartford City IN, 47348-2201. NPI Number Christa Jo Wall FNP-BC has the Individual type.

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1588949762 NPI number is provided on an as is basis without warranty of any kind. 1588949762 is maintained by the National Plan & Provider Enumeration System. The contents of Christa Jo Wall FNP-BC are for informational purposes only.