Provider Demographics
NPI:1093383747
Name:WALKER, JASMINE LEI (FNP-C)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:LEI
Last Name:WALKER
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 REDSTONE CT
Mailing Address - Street 2:
Mailing Address - City:FELTON
Mailing Address - State:DE
Mailing Address - Zip Code:19943-7415
Mailing Address - Country:US
Mailing Address - Phone:302-387-9046
Mailing Address - Fax:
Practice Address - Street 1:1001 S BRADFORD ST STE 7
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-4153
Practice Address - Country:US
Practice Address - Phone:302-264-9436
Practice Address - Fax:302-264-9702
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0011563363LF0000X
GAGA305755363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily