Individual provider · Type 1 NPI

Jacqueline R. Walczyk, ANP

Nurse Practitioner · Portland, OR

NPI number 1659381572 Active

Practice location

3710 SW US Veterans Hospital Rd, Mail Code P3 R & D 42
Portland, OR 97239-2964

Mailing address

13505 NW Countryview Way
Portland, OR 97229-4470

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X081002389N3 (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1659381572

Jacqueline R. Walczyk, ANP's National Provider Identifier is 1659381572, issued on Aug 9, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.