Provider Demographics
NPI:1558829945
Name:WALKER, NEKEISHA
Entity Type:Individual
Prefix:
First Name:NEKEISHA
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1743 S CRANBERRY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34286-5221
Mailing Address - Country:US
Mailing Address - Phone:941-822-5388
Mailing Address - Fax:
Practice Address - Street 1:1743 S CRANBERRY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34286-5221
Practice Address - Country:US
Practice Address - Phone:941-822-5388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care