Individual provider · Type 1 NPI

Jayde S. Wall, NP

Gerontology Nurse Practitioner · Indianapolis, IN

NPI number 1013566884 Active

Practice location

1030 W Michigan St Fl 2
Indianapolis, IN 46202-5201

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 · (888) 484-3258

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X28216495A (IN)
Gerontology Nurse Practitioner Primary 363LG0600X71009529A (IN)

Gerontology Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1013566884

Jayde S. Wall, NP's National Provider Identifier is 1013566884, issued on Sep 5, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Feb 19, 2025.