Individual
JENNIFER WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4181 HOSPITAL DR NE STE 104, COVINGTON, GA 30014-2541
(770) 385-8954
(770) 385-8590
Mailing address
4181 HOSPITAL DR NE STE 104, COVINGTON, GA 30014-2541
(770) 385-8954
(770) 385-8590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN257996
GA
367A00000X
Advanced Practice Midwife
Primary
RN257996
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00284912B
—
GA
Enumeration date
01/09/2023
Last updated
09/08/2023
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