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General NPI Number Information
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NPI Number | 1316672140
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Entity Type | Individual
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Provider Name | MRS. ADRIENNE N WALTON
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Gender | Female
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Dates
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Enumeration Date | 07/17/2022
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Last Update Date | 04/27/2025
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Provider Practice Location Address
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Address Line | 3244 HORN LAKE RD
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City | MEMPHIS
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State | TN
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Zip | 38109-3210
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Country | US
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Telephone | 901-570-3049
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Fax |
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Provider Business Mailing Address
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Address Line | 8071 WINCHESTER RD
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City | MEMPHIS
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State | TN
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Zip | 38125-8206
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Country | US
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Telephone | 901-756-6056
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WX0002X
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Taxonomy Name | High-Risk Obstetric Registered Nurse
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License Number | 143029
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 143029
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 33343
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 33343
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 33343
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License Number State | TN
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