Provider Demographics
NPI:1346763521
Name:WALKER, DIONNE M (FNP)
Entity Type:Individual
Prefix:MRS
First Name:DIONNE
Middle Name:M
Last Name:WALKER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 REESE CT
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-3926
Mailing Address - Country:US
Mailing Address - Phone:770-363-9555
Mailing Address - Fax:
Practice Address - Street 1:445 WINN WAY
Practice Address - Street 2:DECATUR
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30031
Practice Address - Country:US
Practice Address - Phone:404-294-3111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-19
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAF0716917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty