MEDICARE: QUADACIA BRENEA WALKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	910627	MS

General Provider Information

NPI Number	:	1366398760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUADACIA BRENEA WALKER

Provider Business Mailing Address
First Line	:	381 TERRY RD
Second Line	:
City	:	LAUDERDALE
State	:	MS
Zip	:	39335-8324
Country	:	US
Telephone Number	:	601-701-5169
Fax Number	:

Provider Business Practice Location Address
First Line	:	381 TERRY RD
Second Line	:
City	:	LAUDERDALE
State	:	MS
Zip	:	39335-8324
Country	:	US
Telephone Number	:	601-701-5169
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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