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Individual

DEVAN R WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
104 MORRIS CIR, HOMER, LA 71040-2109
(318) 927-6777
(318) 927-6714
Mailing address
104 MORRIS CIR, HOMER, LA 71040-2109
(318) 927-6777
(318) 927-6714

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
216274
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
216274
STATE LICENSURE
AR
01
221817
STATE LICENSURE
LA
05
275671758
AR
Enumeration date
06/22/2021
Last updated
12/13/2021
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