Provider Demographics
NPI:1497213458
Name:WALKER, SHEALYNN (MSN, RN, ACNP-BC)
Entity Type:Individual
Prefix:
First Name:SHEALYNN
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:MSN, RN, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 TANGLEWILDE ST APT 1004
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5163
Mailing Address - Country:US
Mailing Address - Phone:832-338-7432
Mailing Address - Fax:
Practice Address - Street 1:3800 TANGLEWILDE ST APT 1004
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5163
Practice Address - Country:US
Practice Address - Phone:832-338-7432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140943363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX760807OtherTEXAS BOARD OF NURSING