Healthcare Provider Details

I. General information

NPI: 1851148001
Provider Name (Legal Business Name): EMILY RENNETH WALKER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 05/06/2024
Certification Date: 05/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1924 ALCOA HWY
KNOXVILLE TN
37920-6900
US

IV. Provider business mailing address

1704 CAMPFIRE DR
KNOXVILLE TN
37931-4321
US

V. Phone/Fax

Practice location:
  • Phone: 865-305-9830
  • Fax:
Mailing address:
  • Phone: 317-605-6304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number35695
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: