Provider Demographics
NPI:1740910934
Name:WALKER, SYDNEY SHADOWENS (FNP)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:SHADOWENS
Last Name:WALKER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:NICOLE
Other - Last Name:SHADOWENS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1940 ALCOA HWY
Mailing Address - Street 2:BUIDLING E SUITE 310
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920
Mailing Address - Country:US
Mailing Address - Phone:865-544-2800
Mailing Address - Fax:833-908-0998
Practice Address - Street 1:1940 ALCOA HWY
Practice Address - Street 2:BUIDLING E SUITE 310
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920
Practice Address - Country:US
Practice Address - Phone:865-544-2800
Practice Address - Fax:833-908-0998
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000227268163W00000X
TN31887363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse