Healthcare Provider Details

I. General information

NPI: 1952721615
Provider Name (Legal Business Name): JENNIFER LYNN WALKER DNP, CNP, AG-ACNP, T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER EMERSON NP

II. Dates (important events)

Enumeration Date: 04/21/2014
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 W MARKHAM ST # 500
LITTLE ROCK AR
72205-7101
US

IV. Provider business mailing address

251 E HURON ST STE 15-738
CHICAGO IL
60611-2908
US

V. Phone/Fax

Practice location:
  • Phone: 501-686-8000
  • Fax: 501-526-5148
Mailing address:
  • Phone: 312-926-9218
  • Fax: 312-926-6134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberA004062
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209022483
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number71018224A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: