MRS. JENNY VIOLET WALTER PA-C NPI 1669658993

NPI Information

NPI: 1669658993
Provider Name: MRS. JENNY VIOLET WALTER, PA-C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 2616 KWINA RD
BELLINGHAM, WA
ZIP 98226
Phone: (360) 380-6945

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NPI Details

MRS. Jenny Violet Walter, PA-C is a physician assistant in Bellingham, WA with 22 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. MRS. Jenny Violet Walter, PA-C NPI is 1669658993. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2616 KWINA RD
BELLINGHAM, WA
ZIP 98226-291
Phone: (360) 380-6945
Fax: (360) 384-2350

The NPI 1669658993 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	10005362	WASHINGTON	No
2	363A00000X	Physician Assistant		PA10005362	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8505596	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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