Healthcare Provider Details

I. General information

NPI: 1659290203
Provider Name (Legal Business Name): MS. RASHEA WALKER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 JEFFERSON AVE
MEMPHIS TN
38105-5041
US

IV. Provider business mailing address

3616 KIPLING AVE
MEMPHIS TN
38128-2065
US

V. Phone/Fax

Practice location:
  • Phone: 901-222-9000
  • Fax:
Mailing address:
  • Phone: 901-608-5936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: