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

Jennilyn Ava Walling

Individual provider Occupational Therapy Assistant · NPI 1023995743

Jennilyn Ava Walling is an Occupational Therapy Assistant in Kingsport, Tennessee. Works from 2 locations. Licensed in Tennessee and Virginia.

Licensed in
TN, VA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2300 Pavilion Dr
Kingsport, TN 37660-4622
Phone: (423) 765-9655
Show map & directions

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

Additional practice locations (1)

  • 2004 American Way Ste 121, Kingsport, TN 37660-5892 — (423) 230-1000

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 4108 (TN)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 0131002877 (VA)

Record details

NPI number1023995743
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 17, 2025
Mailing address3016 Mabe Stanleytown Rd, Duffield, VA 24244-4614

Other providers in Kingsport