Individual
JESSICA JT WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5495 ARAPAHOE AVE FL 2, BOULDER, CO 80303-1200
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9395A
WY
207Q00000X
Family Medicine Physician
Primary
DR0048600
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL2903
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021560
KAISER COMMERCIAL NUMBER
CO
05
—
31774547
—
CO
Enumeration date
07/15/2008
Last updated
07/15/2020
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