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NPI Code Detail

MEDICARE: LAKENDRA WALKER FNP

MEDICARE:   LAKENDRA  WALKER  FNP
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
1163W00000XRegistered Nurse184336GA
2363LF0000XFamily Nurse PractitionerRN184336GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1184336OTHERGAREGISTERED NURSE

General Provider Information

NPI Number : 1821270893
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAKENDRA WALKER FNP
Provider Business Mailing Address
First Line : 777 CLEVELAND AVE SW
Second Line :
City : ATLANTA
State : GA
Zip : 30315-7129
Country : US
Telephone Number : 404-755-2291
Fax Number :
Provider Business Practice Location Address
First Line : 1203 CLEVELAND AVE STE D
Second Line :
City : ATLANTA
State : GA
Zip : 30344-3417
Country : US
Telephone Number : 404-755-2291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2007
Last Update Date : 02/07/2024

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Directions to “ LAKENDRA WALKER FNP” Practice Location

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