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NPI Code Detail

MEDICARE: JONDA KAYE WALIZER

MEDICARE: JONDA KAYE WALIZER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1144936709
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONDA KAYE WALIZER
Provider Business Mailing Address
First Line : 929 E COMMERCE ST
Second Line :
City : LEWISBURG
State : TN
Zip : 37091-3517
Country : US
Telephone Number : 931-652-2762
Fax Number :
Provider Business Practice Location Address
First Line : 244 CHURCH ST
Second Line :
City : LYNNVILLE
State : TN
Zip : 38472-3115
Country : US
Telephone Number : 919-649-2695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2023
Last Update Date : 01/26/2023

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Directions to “ JONDA KAYE WALIZER ” Practice Location

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