Individual
JAIMA ELIZABETH WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9129 CROSS PARK DR STE 100, KNOXVILLE, TN 37923-4505
(865) 983-1899
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
P3063
TN
103TC0700X
Clinical Psychologist
Primary
6301019705
MI
103TC0700X
Clinical Psychologist
P0000003063
TN
Other
Enumeration date
09/07/2010
Last updated
04/01/2026
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