Individual
JENNIFER PAGE WALKER
Active
Individual
JENNIFER PAGE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0024170068
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
01/04/2011
Last updated
07/21/2022
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