Jennifer Lynn Walls
MD | Pediatric Emergency Medicine | Female
Jennifer Lynn Walls, MD is a Fort Myers, Florida based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine. Jennifer Lynn Walls is also known as
Jennifer Walls.
Current practice location of Jennifer Lynn Walls is
9981 S Healthpark Dr, Fort Myers, Florida - 33908-3618. She can be contacted on phone at
239-343-6260 and fax number 239-343-6259.
Jennifer Lynn Walls is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Lynn Walls is
1104138890 which was assigned by NPPES on 09 Jul, 2010 and it was last updated on 30 Mar, 2021.
Jennifer Lynn Walls license number is
ME141875 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Florida.
Jennifer Lynn Walls has special qualifications to manage emergencies in infants and children.
Complete Profile:
Jennifer Lynn Walls basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Jennifer Lynn Walls |
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| Other Name : | Jennifer Walls |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jennifer Lynn Walls address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9981 S Healthpark Dr
Fort Myers, FL, 33908-3618
United States |
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| Phone Number : | 239-343-6260 |
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| Fax Number : | 239-343-6259 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1104138890 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jul, 2010 |
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| Last Updated On : | 30 Mar, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Lynn Walls are as mentioned. Primary taxonomy code for Jennifer Lynn Walls, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | DR.0056229 | CO |
| 208000000X | Pediatrics | No | E-11128 | AR |
| 208000000X | Pediatrics | No | 29629 | OK |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | ME141875 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Jennifer Lynn Walls such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 103693300 | MEDICAID | FL | |
| 224991001 | MEDICAID | AR | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jwalls179507@Direct.leememorial.org
| |
|
| 2776 CLEVELAND AVE,
FORT MYERS, FL, 33901-5864
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2147
Fort Myers, FL, 33902-2147
United States |
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| Phone Number : | 239-343-6260 |
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| Fax Number : | 239-343-6259 |
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Business Location:
Patients can refer following map for directions to
Jennifer Lynn Walls practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.