Provider Demographics
NPI:1083993893
Name:WALKER, CLAUDETTE NARCISA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDETTE
Middle Name:NARCISA
Last Name:WALKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:209 PONTE VEDRA PARK DR
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-6600
Mailing Address - Country:US
Mailing Address - Phone:904-273-6200
Mailing Address - Fax:904-273-6100
Practice Address - Street 1:209 PONTE VEDRA PARK DR
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-6600
Practice Address - Country:US
Practice Address - Phone:904-273-6200
Practice Address - Fax:904-273-6100
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9176870363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner