MEDICARE: GABRIELLE ALLENA WALKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	1-164733	AL

General Provider Information

NPI Number	:	1134681950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GABRIELLE ALLENA WALKER

Provider Business Mailing Address
First Line	:	1845 CHERRY ST
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36107-2613
Country	:	US
Telephone Number	:	334-420-5001
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 E SOUTH BLVD STE 806
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-2007
Country	:	US
Telephone Number	:	334-747-8920
Fax Number	:	334-747-8930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2019
Last Update Date	:	12/13/2025

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