Individual
JOHN WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(662) 772-4000
Mailing address
10737 BUFFALO RIVER CV, LAKE CORMORANT, MS 38641-9414
(901) 282-9262
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
885832
MS
367500000X
Certified Registered Nurse Anesthetist
Primary
901515
MS
Other
Enumeration date
06/14/2018
Last updated
01/24/2024
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