Individual
LAKENDRA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1203 CLEVELAND AVE STE D, ATLANTA, GA 30344-3417
(404) 755-2291
Mailing address
777 CLEVELAND AVE SW, ATLANTA, GA 30315-7129
(404) 755-2291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
184336
GA
363LF0000X
Family Nurse Practitioner
Primary
RN184336
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184336
REGISTERED NURSE
GA
Enumeration date
12/03/2007
Last updated
02/07/2024
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