Provider Demographics
NPI:1235720079
Name:WALKER, LAKEISHA MILLS (BSN, RN)
Entity Type:Individual
Prefix:MRS
First Name:LAKEISHA
Middle Name:MILLS
Last Name:WALKER
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:MISS
Other - First Name:LAKEISHA
Other - Middle Name:KEIYALE
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:729 WYLIE ST
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-3671
Mailing Address - Country:US
Mailing Address - Phone:225-235-2296
Mailing Address - Fax:
Practice Address - Street 1:600 W PARK ROW DR STE A
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-2559
Practice Address - Country:US
Practice Address - Phone:214-642-2769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
TX942547163WC0400X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No251B00000XAgenciesCase Management
No163WC0400XNursing Service ProvidersRegistered NurseCase Management