Walker, Jessica Lauren

Walker, Jessica Lauren is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Walker, Jessica Lauren can be contacted via phone (352) 273-8985.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X LL31796 South Carolina
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME129013 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 31796 South Carolina

Profile Details

NPI number 1366670424
LBN Legal business name Walker, Jessica Lauren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2009
Last updated Oct 13th, 2016 - about 8 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 1366670424 NPPES
Florida MEDICAID 018191300

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