Individual
JENNIFER E WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2522 COLONIAL AVE SW, ROANOKE, VA 24015-3121
(540) 343-0055
(540) 627-5055
Mailing address
2110 CAROLINA AVE SW, ROANOKE, VA 24014-1738
(540) 343-0055
(540) 343-0056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556935
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188918
ANTHEM
—
01
—
P00319591
MEDICARE RR
—
Enumeration date
07/03/2006
Last updated
11/11/2024
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