MEDICARE: JUDY JEANNE WALKER GNP-BC

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	363L00000X	Nurse Practitioner	555979	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851391379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDY JEANNE WALKER GNP-BC

Provider Business Mailing Address
First Line	:	3100 TANGLEWOOD TRL
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-2012
Country	:	US
Telephone Number	:	817-926-7933
Fax Number	:

Provider Business Practice Location Address
First Line	:	1741 E BARDIN RD
Second Line	:	SUITE 201
City	:	ARLINGTON
State	:	TX
Zip	:	76018-4836
Country	:	US
Telephone Number	:	817-852-8496
Fax Number	:

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	04/19/2009

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