Individual
MS. JAIME L WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7708
(573) 893-8061
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-5771
(573) 636-9756
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
2007027352
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396991071
—
MO
01
—
990001391
GROUP MEDICARE PTAN
MO
01
—
CP9089
RAILROAD GROUP
MO
01
—
P00635932
MEDICARE RAILROAD
MO
Enumeration date
08/13/2008
Last updated
06/28/2023
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