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NPI Code Detail

MEDICARE: MS. JEANNE E WALKER MSN, CRNP

MEDICARE: MS. JEANNE E WALKER MSN, CRNP
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
1163W00000XRegistered NurseRN280818LPA
2363LW0102XWomen's Health Nurse PractitionerVPOO6363VPA

General Provider Information

NPI Number : 1730166141
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEANNE E WALKER MSN, CRNP
Provider Business Mailing Address
First Line : 2563 PRINCETON RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-4349
Country : US
Telephone Number : 724-730-4990
Fax Number :
Provider Business Practice Location Address
First Line : 6780 MAYFIELD RD
Second Line : HILLCREST HOSPITAL
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-2203
Country : US
Telephone Number : 440-312-5560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 04/09/2009

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