Individual
MS. JENNIFER WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1548 EAST 4500 SOUTH SUITE 202, HOLLADAY, UT 84117-5209
(801) 266-8841
(801) 266-0449
Mailing address
4040 WEST DAYBREAK PARKWAY, SOUTH JORDAN, UT 84009-1288
(801) 266-1474
(801) 878-9164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003465
VA
363A00000X
Physician Assistant
Primary
9291448-1206
UT
363A00000X
Physician Assistant
PA030842
DC
Other
Enumeration date
05/10/2012
Last updated
06/26/2023
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