| NPI | 1184110298 |
|---|---|
| Professional Name | JORDAN LYNNE WALTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 4896) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-11-18 |