Provider Demographics
NPI:1083488225
Name:WALKER, BROOKE DIONNE (PMHNP)
Entity type:Individual
Prefix:MRS
First Name:BROOKE
Middle Name:DIONNE
Last Name:WALKER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:193 LOWES DR # 102
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-8603
Mailing Address - Country:US
Mailing Address - Phone:866-272-7826
Mailing Address - Fax:919-300-8978
Practice Address - Street 1:193 LOWES DR # 102
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-8603
Practice Address - Country:US
Practice Address - Phone:866-272-7826
Practice Address - Fax:919-300-8978
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019137363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health