Provider Demographics
NPI:1083624118
Name:WALKER, JENNIFER GAYLE (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:GAYLE
Last Name:WALKER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 BASSETT ST UNIT 816
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1920
Mailing Address - Country:US
Mailing Address - Phone:720-401-5728
Mailing Address - Fax:303-567-6256
Practice Address - Street 1:1700 BASSETT ST UNIT 816
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1920
Practice Address - Country:US
Practice Address - Phone:720-401-5728
Practice Address - Fax:303-567-6256
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor