Healthcare Provider Details

I. General information

NPI: 1811642002
Provider Name (Legal Business Name): ASHLEY WALKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2022
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 HIGHWAY 78 E STE 412
JASPER AL
35501-8952
US

IV. Provider business mailing address

3500 BLUE LAKE DR STE 495
VESTAVIA AL
35243-1975
US

V. Phone/Fax

Practice location:
  • Phone: 205-384-3013
  • Fax: 205-387-4699
Mailing address:
  • Phone: 205-384-3013
  • Fax: 205-387-4699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-128044
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1-128044
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: