Provider Demographics
NPI:1538384086
Name:WALKER, JAMIE L (LA)
Entity type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:L
Last Name:WALKER
Suffix:
Gender:F
Credentials:LA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 STATE PARK RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:ME
Mailing Address - Zip Code:04055
Mailing Address - Country:US
Mailing Address - Phone:207-693-3198
Mailing Address - Fax:207-693-4613
Practice Address - Street 1:50 STATE PARK RD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:ME
Practice Address - Zip Code:04055
Practice Address - Country:US
Practice Address - Phone:207-693-3198
Practice Address - Fax:207-693-3198
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC134171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist