Individual
MS. MARY LYNNE WALKER
Active
Individual
MS. MARY LYNNE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN5970
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01076010
AMERIGROUP
TN
05
—
1501372
—
TN
01
—
4165869
BLUE CROSS
TN
01
—
6197429
CIGNA
TN
Enumeration date
07/27/2006
Last updated
08/27/2009
Update your record
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