Jennifer Walters
Sports Medicine
2362 E State Road 18
Flora
, Indiana 46929-8201
Jennifer Walters
Sports Medicine
2362 E State Road 18
Flora
, Indiana 46929-8201
(765) 585-5977
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Jennifer Walters
- 5155 Saddle Dr
- Lafayette, IN
- Zip : 47905-7698
- Phone : (765) 585-5977
Second Address
- Jennifer Walters
- 2362 E State Road 18
- Flora, IN
- Zip : 46929-8201
- Phone : (574) 967-5100
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 36001786A | IN |
| Y | 213ES0000X | Sports Medicine | 36001786A | IN |
National Provider Identifier
| NPI | 1023526050 |
|---|---|
| Provider Name | Jennifer Walters |
| First Address | Lafayette, IN 47905-7698 |
| Second Address | Flora, IN 46929-8201 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2018 |
| Last Update Date | 11/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.