Individual
HOLLY DAWN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1508 TOMBRAS AVE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12013
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527678
—
TN
01
—
4307476
BCBS - TENNESSEE
TN
Enumeration date
06/29/2006
Last updated
03/09/2023
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