Provider Demographics
NPI:1821327743
Name:WALKER, TAMMY L (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:L
Last Name:WALKER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 SANDY HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78410-3751
Mailing Address - Country:US
Mailing Address - Phone:361-215-6815
Mailing Address - Fax:
Practice Address - Street 1:4504 N LAURENT ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-2743
Practice Address - Country:US
Practice Address - Phone:361-573-9999
Practice Address - Fax:361-573-9998
Is Sole Proprietor?:No
Enumeration Date:2009-12-24
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX618668363L00000X
TXAP117979363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner