Individual
LINDSAY JORDAN JAMES WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6602 KNIGHTDALE BLVD STE 204, KNIGHTDALE, NC 27545-6567
(919) 782-5273
Mailing address
11808 STANNARY PL, RALEIGH, NC 27613-7815
(336) 880-7584
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5014967
NC
Other
Enumeration date
12/06/2021
Last updated
05/04/2022
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