MEDICARE: JAMIE L. WALTERS P.A.

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	MA003024L	PA

General Provider Information

NPI Number	:	1578718169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE L. WALTERS P.A.

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:

Provider Business Practice Location Address
First Line	:	845 SIR THOMAS COURT
Second Line	:	SUITE 7
City	:	HARRISBURG
State	:	PA
Zip	:	17109
Country	:	US
Telephone Number	:	717-651-5800
Fax Number	:	717-651-5808

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

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	06/03/2026

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