Walker, Jennifer

Walker, Jennifer is an individual health care provider with primary practice located at 701 Grove Rd , Greenville SC 29605-4210. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Walker, Jennifer can be contacted via phone (803) 557-1464.

Contact Information

Primary practice address
701 Grove Rd Greenville SC 29605-4210
Fax: (803) 455-5380
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2018-00493 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD87460 South Carolina

Profile Details

NPI number 1184004202
LBN Legal business name Walker, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2015
Last updated Jul 15th, 2022 - about 2 years ago

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 1184004202 NPPES
South Carolina MEDICAID NC3483

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