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General NPI Number Information
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NPI Number | 1609231679
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Entity Type | Individual
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Provider Name | JESSICA BARTON WALKER PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/17/2015
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1050 N JAMES CAMPBELL BLVD SUITE 200
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City | COLUMBIA
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State | TN
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Zip | 38401-2754
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Country | US
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Telephone | 931-381-2663
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Fax | 931-490-1369
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Provider Business Mailing Address
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Address Line | 2000 CALLAWAY PARK PL
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City | THOMPSONS STATION
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State | TN
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Zip | 37179-5406
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2889
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License Number State | TN
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