Individual
STEPHANIE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
931 HIGHWAY 80 W, 2-21B, JACKSON, MS 39204-3912
(601) 208-0884
Mailing address
931 HIGHWAY 80 W, 2-21B, JACKSON, MS 39204-3912
(601) 208-0884
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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