# LISA KEBALO-WALKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1689201337
- **Gender:** F
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC2100X | Continence Care Registered Nurse | 26NR11264700 | NJ | — |
| 163WW0000X | Wound Care Registered Nurse | 26NR11264700 | NJ | — |
| 163WX1500X | Ostomy Care Registered Nurse | 26NR11264700 | NJ | — |
| 261QV0200X | VA Clinic/Center | 26NJ01018400 | NJ | — |
| 363LP2300X | Primary Care Nurse Practitioner | 26NJ01018400 | NJ | Yes |

## Other

- **Enumeration date:** 03/24/2020
- **Last updated:** 11/28/2022