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NPI Code Detail

MEDICARE: ALEXANDER PEARCE WALKER ANP

MEDICARE: ALEXANDER PEARCE WALKER ANP
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
1363LA2200XAdult Health Nurse Practitioner7653TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00154419OTHERTNRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
132103OTHERTNTLC PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861445611
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER PEARCE WALKER ANP
Provider Business Mailing Address
First Line : 15 STONEBRIDGE BLVD
Second Line :
City : JACKSON
State : TN
Zip : 38305-2042
Country : US
Telephone Number : 731-660-2056
Fax Number : 731-661-9092
Provider Business Practice Location Address
First Line : 116 W MAIN ST
Second Line :
City : HENDERSON
State : TN
Zip : 38340-2231
Country : US
Telephone Number : 731-989-0001
Fax Number : 731-989-5151
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 03/09/2020

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Directions to “ ALEXANDER PEARCE WALKER ANP” Practice Location

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