Walker, Mary J

Walker, Mary J is an sole proprietor health care provider with primary practice located at 465 Isbill Rd , Madisonville TN 37354-2112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walker, Mary J can be contacted via phone (865) 335-0330.

Contact Information

Primary practice address
465 Isbill Rd Madisonville TN 37354-2112
Phone: (865) 335-0330
Fax: (865) 273-1755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5417 Tennessee

Profile Details

NPI number 1023051067
LBN Legal business name Walker, Mary J
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Apr 11th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023051067 NPPES
Tennessee MEDICAID 39083231

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