MEDICARE: JASHAE WALKER

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	174200000X	Meals Provider
2	343900000X	Non-emergency Medical Transport (VAN)	TP429707	OH
3	376J00000X	Homemaker
4	251E00000X	Home Health Agency
5	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1407647233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASHAE WALKER

Provider Business Mailing Address
First Line	:	8535 VIOLET LN
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-7599
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8535 VIOLET LN
Second Line	:
City	:	TIPP CITY
State	:	OH
Zip	:	45371-7599
Country	:	US
Telephone Number	:	937-671-5718
Fax Number	:

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

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

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Directions to “ JASHAE WALKER ” Practice Location

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