Healthcare Provider Details

I. General information

NPI: 1306276837
Provider Name (Legal Business Name): JACQUELINE GARALDE WALKER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JACQUELINE G WALKER FNP-C

II. Dates (important events)

Enumeration Date: 11/19/2013
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S RANCHO DR STE B2
LAS VEGAS NV
89106-3860
US

IV. Provider business mailing address

10933 GAELIC HILLS DR
LAS VEGAS NV
89141-4392
US

V. Phone/Fax

Practice location:
  • Phone: 725-228-5227
  • Fax: 725-344-2030
Mailing address:
  • Phone: 725-228-5227
  • Fax: 725-344-2030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number817139
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN73810
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: