Provider Demographics
NPI:1760006225
Name:WALKER, JENNIFER JEANNE WINTERS (CNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:JEANNE WINTERS
Last Name:WALKER
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Mailing Address - Street 1:7801 ACADEMY RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3379
Mailing Address - Country:US
Mailing Address - Phone:505-272-2700
Mailing Address - Fax:505-272-2760
Practice Address - Street 1:1901 JUAN TABO BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-3303
Practice Address - Country:US
Practice Address - Phone:505-407-2163
Practice Address - Fax:505-407-2125
Is Sole Proprietor?:No
Enumeration Date:2020-06-01
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM60225363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
F05200236OtherAMERICAN ASSOCIATION OF NURSE PRACTITIONERS CERTIFICATION BOARD
NM60225OtherNEW MEXICO BOARD OF NURSING