JIMMY L WALKER JR. PA-C
NPI 1063472751
Physician Assistant - Surgical in Rockford, IL

Active since March 25, 2006
324 ROXBURY RD, ROCKFORD, IL 61107(815) 381-7431(815) 381-7498 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jimmy L Walker Jr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JIMMY L WALKER JR. PA-C (NPI 1063472751) is an individual surgical provider in Rockford, Illinois, licensed in Illinois (085002474) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1063472751
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJIMMY L WALKER JR.Credential: PA-C
Location Address324 ROXBURY RDRockford, IL 61107-5090
Mailing AddressBox 78534Milwaukee, WI 53278 · (815) 381-7431 · Fax (815) 381-7498
Fax(815) 381-7498
Sole ProprietorNo
Enumeration DateMarch 25, 2006
Last NPPES UpdateJune 4, 2014
NPI 1063472751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IL · 085002474
Also ListedPhysician AssistantTaxonomy 363A00000X
324 ROXBURY RD, Rockford, IL 61107

Other Identifiers 2

Medicare UPINQ53456IL
Medicare PINK47447

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
324 ROXBURY RD
ROCKFORD, IL 61107
Physician Assistant
324 ROXBURY RD
ROCKFORD, IL 61107
Occupational Therapist
324 ROXBURY RD
ROCKFORD, IL 61107
Physician Assistant
324 ROXBURY RD
ROCKFORD, IL 61107
Physician Assistant
324 ROXBURY RD
ROCKFORD, IL 61107
Physical Therapist
324 ROXBURY RD
ROCKFORD, IL 61107
Physician Assistant
324 ROXBURY RD
ROCKFORD, IL 61107
Physical Medicine & Rehabilitation
324 ROXBURY RD
ROCKFORD, IL 61107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmy Walker's NPI number?

The NPI number for Jimmy Walker is 1063472751. It was assigned to this individual provider in the NPPES registry on March 25, 2006.

Where is Jimmy Walker located?

Jimmy Walker practices at 324 Roxbury Rd, Rockford, IL 61107. The listed phone number is (815) 381-7431.

What is Jimmy Walker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jimmy Walker was last updated on June 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.