Individual
JESSICA CLARK WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 HOLLY ST, HOLLY RIDGE, NC 28445-7898
(910) 329-1707
Mailing address
119 HOLLY ST, HOLLY RIDGE, NC 28445-7898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08063
NC
Other
Enumeration date
08/21/2018
Last updated
10/20/2022
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