Jacqueline Thomas Walls, is a
Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities based in Demopolis, Alabama. Jacqueline Thomas Walls is licensed to practice in * (Not Available) (license number ) and her current practice location is
803 Floyd Ave, Demopolis, Alabama. She can be reached at her office (for appointments etc.) via phone at
(334) 349-6916.
NPI number for Jacqueline Thomas Walls is 1033656939 and her current mailing address is 803 Floyd Ave, Demopolis, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033656939.
Provider's Profile
Full Name | Jacqueline Thomas Walls |
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Gender | Female |
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Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Location | 803 Floyd Ave, Demopolis, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033656939
- Provider Enumeration Date: 01/30/2017
- Last Update Date: 01/30/2017
Medical Identifiers
Medical identifiers for Jacqueline Thomas Walls such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033656939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 1-080172 (Alabama) | Secondary |
320900000X | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Thomas Walls is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacqueline Thomas Walls, 803 Floyd Ave, Demopolis, AL 36732-3157 Ph: (334) 349-6916 | Jacqueline Thomas Walls, 803 Floyd Ave, Demopolis, AL 36732-3157 Ph: (334) 349-6916 |
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