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General NPI Number Information
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NPI Number | 1093273872
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Entity Type | Individual
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Provider Name | JILLIAN WALKER CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1094 KILLINGLY COMMONS DR
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City | DAYVILLE
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State | CT
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Zip | 06241-2187
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Country | US
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Telephone | 727-601-4513
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Fax |
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Provider Business Mailing Address
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Address Line | 7 RENAISSANCE SQ FL 5
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City | WHITE PLAINS
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State | NY
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Zip | 10601-3056
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Country | US
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Telephone | 813-543-4051
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-150755
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13110
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-150755
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License Number State | AL
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