Provider Demographics
NPI:1083488225
Name:WALKER, BROOKE DIONNE (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:DIONNE
Last Name:WALKER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
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Mailing Address - Street 1:184 ROSSELL PARK CIR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-9294
Mailing Address - Country:US
Mailing Address - Phone:191-933-3354
Mailing Address - Fax:919-300-8978
Practice Address - Street 1:184 ROSSELL PARK CIR # 18
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-9294
Practice Address - Country:US
Practice Address - Phone:919-333-3544
Practice Address - Fax:919-300-8978
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5019137363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner