MEDICARE: STEPHANIE LYNN WALKER NP-C

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	363LF0000X	Family Nurse Practitioner	5007010	NC

General Provider Information

NPI Number	:	1508274267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE LYNN WALKER NP-C

Provider Business Mailing Address
First Line	:	1534A W D ST
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3528
Country	:	US
Telephone Number	:	336-990-0219
Fax Number	:	336-990-0236

Provider Business Practice Location Address
First Line	:	1534A W D ST
Second Line	:
City	:	NORTH WILKESBORO
State	:	NC
Zip	:	28659-3528
Country	:	US
Telephone Number	:	336-990-0219
Fax Number	:	336-990-0236

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

Provider Enumeration Date	:	07/25/2014
Last Update Date	:	04/13/2026

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