Individual provider · Type 1 NPI

Jennifer L. Walston, AGACNP-BC

Acute Care Nurse Practitioner · Springfield, IL

NPI number 1629471297 Active

Practice location

751 N Rutledge St, Suite 1700
Springfield, IL 62702-4968

Fax (217) 545-7063

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X209011920 (IL)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1629471297

Jennifer L. Walston, AGACNP-BC's National Provider Identifier is 1629471297, issued on Sep 26, 2014. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Springfield, IL. The record was last updated on Sep 29, 2026.