Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB WALKER, PA-C
Active Sole ProprietorJACOB WALKER, PA-C is a Medical Physician Assistant healthcare provider located in BURLEY, Idaho. NPI 1033651989 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BURLEY, ID
Registration Details
- NPI Number
- 1033651989
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 9, 2016 (9.7567609973373 yrs)
- Last Updated
- Nov 9, 2016
- License
-
PA-1452 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
382 N OVERLAND AVEBURLEY, ID, 833183433Browse ID providers · Browse ZIP 83318
- Phone
- 2086786996
- Fax
- 2086786866
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BURLEY, ID
| Name | Credential | NPI |
|---|---|---|
| ELLEN K JUDD | P.A. | 1972560480 |
| BRANDON POPE | PA-C | 1295105633 |
| MR. LOGAN NIELSON | PA-C | 1184199648 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.