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Individual

JAMIE L WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP, MN

Contact information

Practice address
220 W 4TH AVE, ELLENSBURG, WA 98926-3060
(509) 925-9861
(509) 225-6313
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00139973
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60340233
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1710058839
WA
Enumeration date
11/11/2006
Last updated
11/06/2014
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