Individual
DR. JENNIFER MARY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
379 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 246-7000
(513) 246-7590
Mailing address
379 DIXMYTH AVE, 6TH FLOOR, MOHS SURGERY SUITE, CINCINNATI, OH 45220-2475
(513) 246-5732
(513) 246-5735
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35.122915
OH
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35.122915
OH
207R00000X
Internal Medicine Physician
57.016124
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.122915
OHIO LICENSE
OH
Enumeration date
10/07/2009
Last updated
12/31/2014
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