Jennifer Walker (NPI# 1104185180, PAC ID# 3375855331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1104185180 |
| PAC ID by PECOS | 3375855331 |
| Professional Enrollment ID | I20150703000015 |
| Full Name | Jennifer Walker |
| Organization Legal Name | INTEGRATED DERMATOLOGY OF BOUNTIFUL LLC |
| Address |
1222 W Legacy Crossing Blvd Suite 200 Centerville UT 84014-5560 |
| Phone Number | 8012983802 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6507990793 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1222 W Legacy Crossing Blvd, Suite 200, Centerville, UT 84014-5560 | 8012983802 | INTEGRATED DERMATOLOGY OF BOUNTIFUL LLC |
| Organization Legal Name | INTEGRATED DERMATOLOGY OF BOUNTIFUL LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy V Curtis | Dermatology | Integrated Dermatology of Bountiful LLC | 1222 W Legacy Crossing Blvd, Suite 200, Centerville, UT 84014-5560 |
| Street Address |
1222 W LEGACY CROSSING BLVD SUITE 200 |
| City | CENTERVILLE |
| State | UT |
| Zip | 84014-5560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy V Curtis | Dermatology | Integrated Dermatology of Bountiful LLC | 1222 W Legacy Crossing Blvd, Suite 200, Centerville, UT 84014-5560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devon A Toone | Chiropractic | 972 N 500, Centerville, UT 84014-1600 | |
| Mason Matthew Wybrow | Optometry | 308 N Market Place Dr, Centerville, UT 84014-1702 | |
| Craig Alexander Pew | Optometry | 200 N Market Place Dr, Centerville, UT 84014-1752 | |
| Krissa Wright | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Hollis A Ricker | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Mitchel Nelson | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Stacey T Vroman | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Jesse A Jorgensen | Physician Assistant | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| David E Anisman | Family Medicine | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Julie M Lerman | Family Medicine | University of Utah Community Physicians Group | 26 S Main St, Centerville, UT 84014-1817 |
| Find all physicians in zip 84014 | |||
| City | CENTERVILLE |
| Zip Code | 84014 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CENTERVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer Walker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.