Walker-Granger, Judy

Walker-Granger, Judy is an sole proprietor health care provider with primary practice located at 630 W Adams St Ste 303, Jacksonville FL 32204-1645. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Walker-Granger, Judy can be contacted via phone (904) 742-5835.

Contact Information

Primary practice address
630 W Adams St Ste 303 Jacksonville FL 32204-1645
Fax: (904) 212-0056
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1922128164
LBN Legal business name Walker-Granger, Judy
Credentials MS,CAP,ICADC,CMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Mar 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922128164 NPPES
Florida MEDICAID 766528800

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