Individual provider · Type 1 NPI

Jennifer Lynn Walls, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Fort Myers, FL

NPI number 1104138890 Active

Practice location

9981 S Healthpark Dr
Fort Myers, FL 33908-3618

Call (239) 343-6260 Map

Fax (239) 343-6259

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XDR.0056229 (CO)
Pediatrics Physician 208000000XE-11128 (AR)
Pediatrics Physician 208000000X29629 (OK)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XME141875 (FL)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1104138890

Jennifer Lynn Walls, MD's National Provider Identifier is 1104138890, issued on Jul 9, 2010. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Fort Myers, FL. The record was last updated on Mar 30, 2021.