Healthcare Provider Details

I. General information

NPI: 1447104666
Provider Name (Legal Business Name): KRISTI LYNN WALKER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N HIGHLAND AVE
AURORA IL
60506-3814
US

IV. Provider business mailing address

11145 W ELMWOOD CT
MOKENA IL
60448-9215
US

V. Phone/Fax

Practice location:
  • Phone: 630-892-4355
  • Fax:
Mailing address:
  • Phone: 630-892-4355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209034483
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: