NPI 1043026685

Jordyn Riley Walter, PAC

Practitioner Physician Assistant Gillette, WY

Practice location

Address: 508 Stocktrail Ave, Gillette, WY 82716-3582
Phone: (307) 686-1413
Mailing address: PO Box 20557, Billings, MT 59104-0557

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PT1322 (WY)

Other Physician Assistant providers in Wyoming →

Registry record

NPI: 1043026685
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Dec 2024
Record last updated: 17 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.