Walker, Jennifer Dawn

Walker, Jennifer Dawn is an individual health care provider with primary practice located at 2200 Chambliss Ave Nw , Cleveland TN 37311-3874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Walker, Jennifer Dawn can be contacted via phone (423) 599-9347.

Contact Information

Primary practice address
2200 Chambliss Ave Nw Cleveland TN 37311-3874
Phone: (423) 599-9347
Fax: (866) 369-7656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 933 Tennessee

Profile Details

NPI number 1528094471
LBN Legal business name Walker, Jennifer Dawn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 26th, 2024 - 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 1528094471 NPPES
Tennessee Other 4069116 BCBS OF TENNESSEE
Tennessee MEDICAID 891012580 BCBS OF TENNESSEE

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