JEWELL ALLEN WALKER (NPI# 1003139510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003139510 |
| Entity Type | Individual |
| Full Name | JEWELL ALLEN WALKER |
| Credential | WHNP, CNM |
| Practice Address |
83 Upper Riverdale Road Bldg 2 Suite 135 Riverdale GA 30274 |
| Practice Telephone | 7709910778 |
| Mailing Telephone | 7709910778 |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | RN044181 | GA | Other Service Providers |
| Y | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
RN044181 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
83 UPPER RIVERDALE ROAD BLDG 2 SUITE 135 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255392346 | Timothy Bonitto Brown | Obstetrics & Gynecology | 83 Upper Riverdale Road, Suite 135, Riverdale, GA 30274 | 2006-03-29 |
| 1306333083 | Levi Jelks Jr. | Nurse Practitioner | 83 Upper Riverdale Road, Riverdale, GA 30274-3029 | 2018-04-18 |
| 1659519536 | Kimberly Williams Crom | Nurse Practitioner | 83 Upper Riverdale Road, Suite 135, Riverdale, GA 30274 | 2009-01-30 |
| 1386865921 | Judy T Williamson | Midwife | 83 Upper Riverdale Road, Bldg 2 Suite 135, Riverdale, GA 30274 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 364SW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437659703 | Erin Michelle Mabile | Clinical Nurse Specialist | 5780 Peachtree Dunwoody Rd # 295g, Atlanta, GA 30342-1554 | 2018-02-13 |
| 1073918207 | Centro Prenatal De Georgia | Clinical Nurse Specialist | 4990 Phillips Dr, Forest Park, GA 30297-1472 | 2014-10-30 |
| 1427390079 | Lynette Nena Turner-fleming | Clinical Nurse Specialist | 173 B0ulavard Ne, Atlanta, GA 30312-1468 | 2013-03-21 |
| 1942433115 | Mercedes Arancibia | Clinical Nurse Specialist | 4775 Jimmy Carter Blvd Ste 300, Norcross, GA 30093-3760 | 2009-09-03 |
| 1396175873 | Mary Gail Ferra | Clinical Nurse Specialist | 804 E 16th Ave, Cordele, GA 31015-1514 | 2013-11-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.