MEDICARE: JAYLIN WALKER PA-C

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
1	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1245041003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYLIN WALKER PA-C

Provider Business Mailing Address
First Line	:	9922 HOLLOW TREE DR
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-9198
Country	:	US
Telephone Number	:	937-344-8836
Fax Number	:

Provider Business Practice Location Address
First Line	:	2066 W MAIN ST STE 130
Second Line	:
City	:	XENIA
State	:	OH
Zip	:	45385-2882
Country	:	US
Telephone Number	:	937-372-7583
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2025
Last Update Date	:	07/16/2025

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Directions to “ JAYLIN WALKER PA-C” Practice Location

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