Organization Active NPI

Walker Clinic, LLC

  • Adult Health Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1326361783
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
7653 Issued in TN
Legal business name
WALKER CLINIC, LLC
Practice address
1385 S Highland Ave
Jackson, TN 38301-7525
Phone
(731) 427-0470
Fax
(731) 427-0995
NPI assigned
Mar 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alexander Pearce Walker, NPNPI 1861445611
Title
NP
Phone
(731) 225-3379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 7653 TN Primary

Addresses

Primary practice location

1385 S Highland Ave
Jackson, TN 38301-7525

Mailing address

110 Cedarfield Lane
Henderson, TN 38340
Phone (731) 225-3379

National Provider Directory

National Provider Directory

Locations

1385 S Highland Ave
Jackson, TN 38301
Phone (731) 410-6777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1326361783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CEDARFIELD LANE",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "38340",
            "telephone_number": "731-225-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 S HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017525",
            "telephone_number": "731-427-0470",
            "fax_number": "731-427-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-12",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "PEARCE",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "731-225-3379",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "7653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.