Provider Demographics
NPI:1871231753
Name:WALKA, JORDANA HOPE
Entity Type:Individual
Prefix:
First Name:JORDANA
Middle Name:HOPE
Last Name:WALKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 CRANFORD RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3147
Mailing Address - Country:US
Mailing Address - Phone:856-905-5838
Mailing Address - Fax:
Practice Address - Street 1:309 CRANFORD RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3147
Practice Address - Country:US
Practice Address - Phone:856-905-5838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-22
Last Update Date:2022-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN