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Contact Information

SKYE JONES WALLER
1805 COLUMBIA RD NW
WASHINGTON, DC20009-2001
 Phone: 888-805-4551
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SKYE JONES WALLER · (Female)

NPI # 1790339372
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2019
Last updated 04/23/2026 - About 1 months ago
Sole proprietor 1 Yes
Identifiers
  • MD License # R218382
  • VA License # 0024186891
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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