Individual provider · Type 1 NPI

Jebediah Daniel Walston, FNP-C

Family Nurse Practitioner · Middletown, NY

NPI number 1912714577 Active

Practice location

28 Rykowski Ln
Middletown, NY 10941-4018

Mailing address

50 Maple Ave Apt 1
Warwick, NY 10990-1023

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X355499 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1912714577

Jebediah Daniel Walston, FNP-C's National Provider Identifier is 1912714577, issued on Dec 16, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Middletown, NY. The record was last updated on Dec 16, 2024.