Healthcare Provider Details

I. General information

NPI: 1962028951
Provider Name (Legal Business Name): SHERAFAH WALKER FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERAFAH CAMPBELL WALKER

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6596 E CALLE LA PAZ
TUCSON AZ
85715-4043
US

IV. Provider business mailing address

10841 S SANGAMON ST
CHICAGO IL
60643-3833
US

V. Phone/Fax

Practice location:
  • Phone: 520-502-5149
  • Fax:
Mailing address:
  • Phone: 773-469-2404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number282788
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number282788
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: