Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 20097 | TN |
N | 363LA2100X | Nurse Practitioner - Acute Care | SP014955 | PA |
NPI | 1023492378 |
---|---|
Provider Name | Caroline Walker |
First Address | Nashville, TN 37212-2911 |
Second Address | Nashville, TN 37212-2637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2015 |
Last Update Date | 17/03/2018 |