Healthcare Provider Details

I. General information

NPI: 1427884618
Provider Name (Legal Business Name): WHITNEY ALEXANDRA WALKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2024
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 LINDBERG RD
ANDERSON IN
46012-2711
US

IV. Provider business mailing address

5534 SAINT JOE RD
FORT WAYNE IN
46835-3328
US

V. Phone/Fax

Practice location:
  • Phone: 765-649-2532
  • Fax:
Mailing address:
  • Phone: 253-922-4027
  • Fax: 844-222-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number71015751A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: