Provider Demographics
NPI:1235194317
Name:WALKER, JAY M (PA-C)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:M
Last Name:WALKER
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Gender:M
Credentials:PA-C
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Other - First Name:
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Mailing Address - Street 1:1500 SE MAGNOLIA EXT
Mailing Address - Street 2:SUITE 203
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4463
Mailing Address - Country:US
Mailing Address - Phone:352-351-1883
Mailing Address - Fax:352-351-1643
Practice Address - Street 1:1500 SE MAGNOLIA EXT
Practice Address - Street 2:SUITE 203
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-4463
Practice Address - Country:US
Practice Address - Phone:352-351-1883
Practice Address - Fax:352-351-1643
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2022-02-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9103478363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant