Provider Demographics
NPI:1275048480
Name:WALKER, SOMMER SHURAE (PA-C)
Entity Type:Individual
Prefix:
First Name:SOMMER
Middle Name:SHURAE
Last Name:WALKER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:501-945-0392
Mailing Address - Fax:501-945-0394
Practice Address - Street 1:3500 SPRINGHILL DR STE 200A
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2948
Practice Address - Country:US
Practice Address - Phone:501-945-0392
Practice Address - Fax:501-945-0394
Is Sole Proprietor?:No
Enumeration Date:2017-12-11
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA-756363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical