Individual
CARALINE PUTNAM WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2629 COURTHOUSE CIR, FLOWOOD, MS 39232-9521
(601) 420-4300
Mailing address
317 BUTTONWOOD LN, CANTON, MS 39046-6629
(601) 253-4373
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905240
MS
363LF0000X
Family Nurse Practitioner
905240
MS
363LF0000X
Family Nurse Practitioner
905420
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200002532
—
MS
01
—
905240
MISSISSIPPI BOARD OF NURSING
MS
01
—
F02220717
AMERICAN ACADEMY OF NURSE PRACTITIONERS
MS
Enumeration date
09/02/2020
Last updated
05/05/2023
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