George Earl Walker Jr.

Primary specialty

Emergency Clinical Nurse SpecialistTaxonomy code 364SE0003X

License

RN9508045 Issued in FL

Practice address

259 SW Ventura LN
Lake City, FL 32025-3176

Phone

(386) 697-9096

NPI assigned

Apr 1, 2021

Last updated

Apr 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1508444357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 SW VENTURA LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320253176",
            "telephone_number": "386-697-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 SW VENTURA LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320253176",
            "telephone_number": "386-697-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "GEORGE",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SE0003X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Emergency",
            "state": "FL",
            "license": "RN9508045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Lynn Wade, PHARMD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0767)
• Wal-Mart Stores East, LP (Vision Center 30-0767)
• Stormy B Waldron
• Walgreen Co (Walgreens #06263)
• Nimota Walker, MSW, CBHCM, LCSW
• Shawnta Walker
• Yankee M Wall
• Yi Wang
• Ashley Scott Ward Jr., PHARMD

• Clinical Nurse Specialist in Lake City, FL
• Providers in Lake City, FL by specialty
• Clinical Nurse Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.