Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline L Walker, PA-C

Individual provider Surgical Physician Assistant · NPI 1235225095

Jacqueline L Walker, PA-C is a Physician Assistant in State College, Pennsylvania. Qualified in 2002, 24 years ago. Practices with Gni Neuroservices, LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and West Virginia.

Years since qualifying
24
Licensed in
PA, WV
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1850 E Park Ave Ste 112
State College, PA 16803-6706
Phone: (800) 243-1455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA054312 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence MA054312 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 01018 (WV)

Record details

NPI number1235225095
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Gni Neuroservices, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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