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NPI 1922668896

NPI 1922668896 : ALISA WALKER FNP : HICKORY, NC

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General NPI Number Information
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    NPI Number           |    1922668896
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    Entity Type          |    Individual 
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    Provider Name        |    ALISA WALKER FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/13/2019
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    Last Update Date     |    10/31/2024
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Provider Practice Location Address
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    Address Line         |    1067 13TH ST SE 
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    City                 |    HICKORY
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    State                |    NC
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    Zip                  |    28602-2771
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    Country              |    US
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    Telephone            |    910-663-2273
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    Fax                  |    910-663-4050
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2123 
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    City                 |    BRYSON CITY
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    State                |    NC
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    Zip                  |    28713-5123
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    Country              |    US
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    Telephone            |    910-490-0490
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    Fax                  |    828-538-4441
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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        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    5011829
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    5011829
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    License Number State |    NC
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