Individual
ALEXANDER PEARCE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
116 W MAIN ST, HENDERSON, TN 38340-2231
(731) 989-0001
(731) 989-5151
Mailing address
15 STONEBRIDGE BLVD, JACKSON, TN 38305-2042
(731) 660-2056
(731) 661-9092
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7653
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32103
TLC PROVIDER NUMBER
TN
05
—
3928246
—
TN
01
—
P00154419
RAILROAD MEDICARE
TN
Enumeration date
05/19/2006
Last updated
03/09/2020
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