Provider Demographics
NPI:1245041003
Name:WALKER, JAYLIN (PA-C)
Entity type:Individual
Prefix:
First Name:JAYLIN
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9922 HOLLOW TREE DR
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-9198
Mailing Address - Country:US
Mailing Address - Phone:937-344-8836
Mailing Address - Fax:
Practice Address - Street 1:2066 W MAIN ST STE 130
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-2882
Practice Address - Country:US
Practice Address - Phone:937-372-7583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical