Individual
JENNIFER RENEE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3007125
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
71006074A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12275229
CAQH
IN
05
—
201037440
—
IN
05
—
7100184220
—
KY
Enumeration date
05/25/2011
Last updated
09/28/2018
Update your record
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