Individual
QUADACIA BRENEA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
381 TERRY RD, LAUDERDALE, MS 39335-8324
(601) 701-5169
Mailing address
381 TERRY RD, LAUDERDALE, MS 39335-8324
(601) 701-5169
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
910627
MS
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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