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General NPI Number Information
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NPI Number | 1386426328
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Entity Type | Individual
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Provider Name | ARRISA WALKER PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 1601 FRANKLIN TPKE
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City | DANVILLE
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State | VA
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Zip | 24540-1031
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Country | US
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Telephone | 678-910-2999
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Fax |
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Provider Business Mailing Address
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Address Line | 1799 BLUE OAT CT GRAYSON, GA
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City | GRAYSON
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State | GA
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Zip | 30017
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Country | US
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Telephone | 678-910-2999
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024188381
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License Number State | VA
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