Individual
CHARLOTTE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7450 HILHAM RD, COOKEVILLE, TN 38506-9741
(931) 854-9220
(931) 854-9226
Mailing address
PO BOX 640, MCMINNVILLE, TN 37111-0640
(931) 507-1212
(931) 507-1217
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
65665
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
65665
LICENSE
TN
Enumeration date
04/27/2012
Last updated
04/27/2012
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