Individual
NIA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 S MAIN ST, LILLINGTON, NC 27546-8960
(910) 984-8229
Mailing address
1406 S MAIN ST, LILLINGTON, NC 27546-8960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15818
NC
363AM0700X
Medical Physician Assistant
Primary
0010-15818
NC
Other
Enumeration date
10/28/2025
Last updated
01/14/2026
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