Provider Demographics
NPI:1457140907
Name:WALKER, JA'LYRIA (HHA)
Entity type:Individual
Prefix:
First Name:JA'LYRIA
Middle Name:
Last Name:WALKER
Suffix:
Gender:
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11582 SW VILLAGE PKWY UNIT 116
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34987-2392
Mailing Address - Country:US
Mailing Address - Phone:772-302-7886
Mailing Address - Fax:
Practice Address - Street 1:11582 SW VILLAGE PKWY UNIT 116
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34987-2392
Practice Address - Country:US
Practice Address - Phone:772-302-7886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health