Doctor Name: | MR. JEFFERY L WALKER |
NPI Number: | 1295021541 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | F.N.P. |
License Number: | 5005188 |
Business Practice Address: | 702 4th Ave Ne Conover, NC - 286131619 |
Business Phone Number: | 8282289703 |
Business Fax Number: | |
Mailing Address: | 702 4th Ave Ne, CONOVER |
State: | NC |
Postal Code: | 286131619 |
Phone Number: | 8282289703 |
Fax Number: | |
NPI Enumeration Date: | 06/24/2011 |
NPI Last Update Date: | 10/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 5005188 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |