Provider Demographics
NPI:1952182743
Name:WALKER, RACHEL (WHNP-BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 ARDEN CT
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-8510
Mailing Address - Country:US
Mailing Address - Phone:515-298-2970
Mailing Address - Fax:
Practice Address - Street 1:2016 ARDEN CT
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-8510
Practice Address - Country:US
Practice Address - Phone:515-298-2970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA132480163W00000X
TN34582363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse