JERRY W WALKER LPC NPI 1699766089

NPI Information

NPI: 1699766089
Provider Name: JERRY W WALKER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2702 CUNNINGHAM AVE
STE A
JOPLIN, MO
ZIP 64804
Phone: (417) 782-1910
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Jerry W Walker, LPC is a professional counselor in Joplin, MO. Jerry W Walker, LPC NPI is 1699766089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2702 CUNNINGHAM AVE
STE A
JOPLIN, MO
ZIP 64804-570
Phone: (417) 782-1910
Fax: (417) 782-1844

The enumeration date for this NPI number is 11/3/2005 and was last updated on 4/10/2014.

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	101YP2500X	Counselor	Professional	2000167859	MISSOURI	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
1	200671770A	MEDICAID	KANSAS
2	494803802	MEDICAID	MISSOURI
3	200491030A	MEDICAID	OKLAHOMA

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: 11/14/2023

NPI Synchronization or Removal

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