Provider Demographics
NPI:1871674580
Name:WALKER, CHRISTINE JEAN (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:JEAN
Last Name:WALKER
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13521 MANE CT
Mailing Address - Street 2:
Mailing Address - City:JUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:76247-1110
Mailing Address - Country:US
Mailing Address - Phone:940-648-1293
Mailing Address - Fax:940-648-1293
Practice Address - Street 1:13521 MANE CT
Practice Address - Street 2:
Practice Address - City:JUSTIN
Practice Address - State:TX
Practice Address - Zip Code:76247-1110
Practice Address - Country:US
Practice Address - Phone:940-648-1293
Practice Address - Fax:940-648-1293
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX686637364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical