Provider Demographics
NPI:1568236453
Name:WALKER, JEFFREY PRESCOTT (MS)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:PRESCOTT
Last Name:WALKER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 DONELSON PIKE STE B19
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-2999
Mailing Address - Country:US
Mailing Address - Phone:629-895-5376
Mailing Address - Fax:
Practice Address - Street 1:1420 DONELSON PIKE STE B19
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-2999
Practice Address - Country:US
Practice Address - Phone:629-895-5376
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor