Individual
JENNA N WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-BC
Contact information
Practice address
1911 E REZANOF DR, KODIAK, AK 99615-6602
(907) 481-5000
Mailing address
PO BOX 2028, BEAVER, WV 25813-2028
(304) 255-1300
(304) 255-5391
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
78686
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1658011
—
AK
Enumeration date
05/19/2016
Last updated
05/09/2018
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