Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKEQUELINE WALLS
Active Sole ProprietorJAKEQUELINE WALLS is a Bus healthcare provider located in DECATUR, Georgia. NPI 1487250684 is currently active in the NPPES registry. Verify at CMS.
Bus · DECATUR, GA
Registration Details
- NPI Number
- 1487250684
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2020 (5.6604074121316 yrs)
- Last Updated
- Dec 11, 2020
- License
-
051124838 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2884 RIVER RDDECATUR, GA, 300344705Browse GA providers · Browse ZIP 30034
- Phone
- 4045168509
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in DECATUR, GA
| Name | Credential | NPI |
|---|---|---|
| ELISE N MEYERS | — | 1225781016 |
| DEBBIE RENEA SMITH | — | 1497451975 |
| KRYSTAL CONWAY | — | 1649959511 |
| SADARIUS BOYD | — | 1154103406 |
| LAWRENCE JEROME MCCOY JR. | — | 1023904372 |
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.