Individual
JAMIE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 S HIGHWAY 27 STE 1, SOMERSET, KY 42501-3055
(606) 416-5719
Mailing address
PO BOX 306505, NASHVILLE, TN 37230-6505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4023560
KY
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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