Individual provider · Type 1 NPI
Jodi Walsh, A-GNP-C
Adult Health Nurse Practitioner · St. Louis, MO
NPI number
1184287302
Active
Practice location
1201 S Grand Blvd
St. Louis, MO 63104-1016
Mailing address
3635 Vista Ave
St. Louis, MO 63110-2500
Other practice locations
- 6400 Clayton Rd, St. Louis, MO 63117-1997 · (314) 977-6610
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209019041 (IL) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 2019005549 (MO) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1184287302
Jodi Walsh, A-GNP-C's National Provider Identifier is 1184287302, issued on Apr 15, 2019. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis, MO. The record was last updated on Sep 2, 2020.