Walter, Jennifer Lee

Walter, Jennifer Lee is an individual health care provider with primary practice located at 410 E Spruce St , Garden City KS 67846-5659. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Walter, Jennifer Lee can be contacted via phone (620) 272-2579.

Contact Information

Primary practice address
410 E Spruce St Garden City KS 67846-5659
Phone: (620) 272-2579
Fax: (620) 272-2685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 53-76944-021 Kansas

Profile Details

NPI number 1851770523
LBN Legal business name Walter, Jennifer Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2015
Last updated Jan 12th, 2021 - about 4 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 1851770523 NPPES
Oklahoma MEDICAID 200631180A
Oklahoma MEDICAID 201123060A

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