Individual
JENNIFER LYNN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9981 S HEALTHPARK DR, FORT MYERS, FL 33908-3618
(239) 343-6260
(239) 343-6259
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6260
(239) 343-6259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29629
OK
208000000X
Pediatrics Physician
DR.0056229
CO
208000000X
Pediatrics Physician
E-11128
AR
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME141875
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103693300
—
FL
05
—
224991001
—
AR
Enumeration date
07/09/2010
Last updated
03/30/2021
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