Individual
LISA MICHELLE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
2604 N ELM ST, LUMBERTON, NC 28358-3011
(910) 987-7229
(949) 695-2891
Mailing address
2604 N ELM ST, LUMBERTON, NC 28358-3011
(910) 987-7229
(866) 264-2718
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5012465
NC
363LF0000X
Family Nurse Practitioner
5012465
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5012465
NC
363LP2300X
Primary Care Nurse Practitioner
5012465
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144864653
—
NC
Enumeration date
10/29/2019
Last updated
07/07/2023
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