Individual
JESSICA RUTH WALKUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1650 COCHRANE CIR # B7500, FORT CARSON, CO 80913-4613
(719) 526-7192
Mailing address
1650 COCHRANE CIR # B7500, FORT CARSON, CO 80913-4613
(719) 526-7192
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
24172347
VA
367500000X
Certified Registered Nurse Anesthetist
AC0001478
MD
Other
Enumeration date
02/09/2015
Last updated
09/21/2023
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