Individual
MS. SONIA LESLIE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3855 AZALEA DR, JACKSON, MS 39206-5105
(601) 366-9447
(601) 366-9790
Mailing address
3855 AZALEA DR, JACKSON, MS 39206-5105
(601) 366-9447
(601) 366-9790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R867644
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08208312
—
MS
Enumeration date
08/03/2011
Last updated
06/11/2019
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