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Individual

MICHELLE WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
300 NORTHCREST DR, SUITE 308, SPRINGFIELD, TN 37172-3963
(615) 384-1711
Mailing address
131 SAUNDERSVILLE RD, SUITE 160, HENDERSONVILLE, TN 37075-8903

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19049
TN
363LF0000X
Family Nurse Practitioner
APN0000019049
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100331220
KY
05
Q009482
TN
Enumeration date
11/05/2014
Last updated
11/02/2018
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