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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASPER WALKER SR.

Active Sole Proprietor

JASPER WALKER SR. is a Health Maintenance Organization healthcare provider located in JERSEY CITY, New Jersey. NPI 1760209415 is currently active in the NPPES registry. Verify at CMS.

Health Maintenance Organization · JERSEY CITY, NJ

Registration Details

NPI Number
1760209415
Provider Type
Individual
Gender
Male
NPI Issued
Sep 24, 2024 (1.9222339204767 yrs)
Last Updated
Sep 24, 2024
License
LA1122593 (NY)
Sole Proprietor
Yes

Practice Information

Address
374 COMMUNIPAW AVE
JERSEY CITY, NJ, 073043724
Browse NJ providers · Browse ZIP 07304
Phone
2014331888
Primary Specialty
Health Maintenance Organization
302R00000X
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.