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

MS. Jennifer Walker, PA

Individual provider Physician Assistant · NPI 1104185180

MS. Jennifer Walker, PA is a Physician Assistant in Holladay, Utah. Qualified in 2010, 16 years ago. Practices with Woseth Dermatology, PC, a 10-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Utah and Virginia.

Years since qualifying
16
Licensed in
DC, UT, VA
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1548 E 4500 S Ste 202
Holladay, UT 84117-5209
Phone: (801) 266-8841
Fax: (801) 266-0449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9291448-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA030842 (DC)
Physician Assistant Taxonomy 363A00000X · Licence 0110003465 (VA)

Record details

NPI number1104185180
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 10, 2012
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address4040 West Daybreak Parkway, South Jordan, UT 84009-1288

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Woseth Dermatology, P.C. — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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