Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 9101238 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 9101238 | FL |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 9101238 | FL |
N | 207RG0300X | Geriatric Medicine | 9101238 | FL |
N | 207RH0002X | Hospice and Palliative Medicine | 9101238 | FL |
NPI | 1487791893 |
---|---|
Provider Name | Janice Kaye Walker |
First Address | Gainesville, FL 32608-1135 |
Second Address | Gainesville, FL 32608-1135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 05/03/2009 |