Individual
MS. JEANNETTE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9789 JOHN FRANKLIN RD, TALLAHASSEE, FL 32305-1311
(850) 694-1638
Mailing address
9789 JOHN FRANKLIN RD, TALLAHASSEE, FL 32305-1311
(850) 694-1638
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN344571
FL
224Z00000X
Occupational Therapy Assistant
Primary
OTA9309
FL
Other
Enumeration date
05/20/2012
Last updated
07/21/2022
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