Individual
JENNIFER D. WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
134 JUNGLE RD, EDISTO ISLAND, SC 29438-3005
(843) 897-7757
Mailing address
134 JUNGLE RD, EDISTO ISLAND, SC 29438-3005
(843) 897-7757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17830
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2082
—
SC
01
—
P01396745
RR MEDICARE
SC
Enumeration date
06/11/2012
Last updated
10/03/2024
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