Jan Walker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703079536 Issued in MI

Practice address

3300 Lansing Ave
Jackson, MI 49202-1621

Phone

(517) 784-2929

Fax

(517) 784-3030

NPI assigned

Oct 11, 2018

Last updated

Oct 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1164997672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 LANSING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021621",
            "telephone_number": "517-784-2929",
            "fax_number": "517-784-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 LANSING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021621",
            "telephone_number": "517-784-2929",
            "fax_number": "517-784-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JAN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703079536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #05707)
• Walgreen Co (Walgreens #09133)
• Frances Walicki
• Alisha Ann Walker
• David R Walker, PA
• Mary Justine Walker, SLP
• Jessica Lynn Wall
• Nicole Wallace
• Donnietra La'Verne Walls, AGACNP-BC
• John J Walper Jr., MD

• Licensed Practical Nurse in Jackson, MI
• Providers in Jackson, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.