Provider Demographics
NPI:1023097128
Name:WALKER, JENNIFER JUNNILA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JUNNILA
Last Name:WALKER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2865 KANAKU ST
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-7037
Mailing Address - Country:US
Mailing Address - Phone:813-498-9580
Mailing Address - Fax:
Practice Address - Street 1:1 JARRETT WHITE ROAD, TRIPLER AMC
Practice Address - Street 2:STRIPER ARMY MEDICAL CENTER
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96859-5000
Practice Address - Country:US
Practice Address - Phone:808-433-8500
Practice Address - Fax:808-433-8505
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI38531207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine