Healthcare Provider Details

I. General information

NPI: 1154246213
Provider Name (Legal Business Name): VICTORIA PAIGE WALKER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 WEST FRONT ST
HAZEN AR
72064
US

IV. Provider business mailing address

110 HIGHWAY 238
BRINKLEY AR
72021-9362
US

V. Phone/Fax

Practice location:
  • Phone: 870-255-9354
  • Fax: 870-255-9389
Mailing address:
  • Phone: 870-768-5273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR097189
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: