Individual
MR. JEREMY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
122 CENTER ST, CLAY, WV 25043-7046
(304) 587-7301
(304) 587-2464
Mailing address
634 ELK EST, ELKVIEW, WV 25071-9551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
82794
WV
Other
Enumeration date
09/14/2016
Last updated
12/14/2022
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