Individual
IVY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2822 NE 24TH PL, OCALA, FL 34470-3979
(352) 361-3012
Mailing address
2822 NE 24TH PL, OCALA, FL 34470-3979
(352) 361-3012
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5245380
FL
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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