Individual
SHARONDA LAVETTE WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
3835 DEOLA DOBBINS RD, SOUTHAVEN, MS 38672-6532
(901) 219-8378
Mailing address
3835 DEOLA DOBBINS RD, SOUTHAVEN, MS 38672-6532
(901) 219-8378
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000015532
TN
Other
Enumeration date
10/21/2011
Last updated
11/07/2022
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