Provider Demographics
NPI:1790327526
Name:WALKER, LINDSEY (APRN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0497
Mailing Address - Country:US
Mailing Address - Phone:870-347-2534
Mailing Address - Fax:870-347-1235
Practice Address - Street 1:304 MAIN ST
Practice Address - Street 2:
Practice Address - City:PANGBURN
Practice Address - State:AR
Practice Address - Zip Code:72121-8959
Practice Address - Country:US
Practice Address - Phone:501-728-3388
Practice Address - Fax:501-728-3391
Is Sole Proprietor?:No
Enumeration Date:2019-10-14
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR122234363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily