Individual
JACQUELYNN WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 445-8131
Mailing address
1430 S HIGH ST, COLUMBUS, OH 43207-1045
(614) 445-8131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
460789
OH
Other
Enumeration date
05/04/2019
Last updated
04/19/2021
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