Provider Demographics
NPI:1265586259
Name:WALKER, SHERRI LEE (D O)
Entity type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:LEE
Last Name:WALKER
Suffix:
Gender:F
Credentials:D O
Other - Prefix:MRS
Other - First Name:SHERRI
Other - Middle Name:LEE
Other - Last Name:RICKETT-SPARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:341 FAVRE CIR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37398-5365
Mailing Address - Country:US
Mailing Address - Phone:814-897-1260
Mailing Address - Fax:931-967-8226
Practice Address - Street 1:1383 S COLLEGE ST
Practice Address - Street 2:STE. 2
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2414
Practice Address - Country:US
Practice Address - Phone:931-810-8012
Practice Address - Fax:931-241-6630
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2308207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1526761Medicaid
103I088329Medicare PIN