Individual
MR. JONATHAN WALTON WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
216 MOORE RD, KING, NC 27021-8703
(336) 983-4346
(336) 985-5101
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012312
NC
Other
Enumeration date
09/25/2019
Last updated
10/26/2020
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