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NPI Code Detail

MEDICARE: TANGNIKA M WALKER

MEDICARE:   TANGNIKA M 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1407783814
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANGNIKA M WALKER
Provider Business Mailing Address
First Line : 15688 MASON LAKES DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32218-8342
Country : US
Telephone Number : 912-674-4817
Fax Number :
Provider Business Practice Location Address
First Line : 3599 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4252
Country : US
Telephone Number : 904-345-7600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ TANGNIKA M WALKER ” Practice Location

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