Individual
MR. JEFFERY L WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
109 ROCK BARN RD NE, CONOVER, NC 28613-9727
(828) 994-4898
(828) 994-4898
Mailing address
702 4TH AVE NE, CONOVER, NC 28613-1619
(828) 695-5900
(828) 695-4256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005188
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5005188
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124559331
—
NC
05
—
1295021541
—
NC
05
—
7004992
—
NC
Enumeration date
06/24/2011
Last updated
12/12/2017
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