IndividualActive
Patricia Waltman, ED.D., CNNP
NPI 1679501944 · Neonatal Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1679501944
- Entity type
- Individual
- Primary specialty
- Neonatal Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ED.D., CNNP
- Sex
- Female
- Sole proprietor
- No
- License
- R119690 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-7675
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.