National Provider Identifier
Jenna Marie Walden
Jenna Marie Walden is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 898-5209.
Profile Overview
- NPI
- 1336846187
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- February 13, 2023
- Last Updated
- February 13, 2023
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-5209
Mailing Address
- 4254 Sheva Ln
- Hamburg, NY 14075-1315
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1336846187
- Entity Type
- Individual
- Last Name
- Walden
- First Name
- Jenna
- Middle Name
- Marie
- Mailing Street Address
- 4254 Sheva Ln
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-1315
- Mailing Country
- US
- Mailing Phone
- (716) 863-8701
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-5209
- Enumeration Date
- February 13, 2023
- Last Updated
- February 13, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)