Individual
SHERRY B WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.A10344
LA
363AS0400X
Surgical Physician Assistant
Primary
PA.10344
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.A10344
PHYSICIAN ASSISTANT LICEN
LA
Enumeration date
01/25/2006
Last updated
08/11/2025
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