Individual
DR. EVELYN RICKS WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
(601) 979-8754
(601) 979-8755
Mailing address
350 W WOODROW WILSON AVE, JACKSON, MS 39213-7681
(601) 979-8754
(601) 979-8755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11432
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11432
LICENSE
MS
Enumeration date
03/03/2008
Last updated
03/07/2023
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