Provider Demographics
NPI:1316998156
Name:WALKER, DEBRA GAIL (CFNP)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:GAIL
Last Name:WALKER
Suffix:
Gender:F
Credentials:CFNP
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Mailing Address - Street 1:2630 E CITIZENS DR
Mailing Address - Street 2:SUITE 13
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4797
Mailing Address - Country:US
Mailing Address - Phone:479-571-6000
Mailing Address - Fax:479-571-3344
Practice Address - Street 1:2630 E CITIZENS DR
Practice Address - Street 2:SUITE 13
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4797
Practice Address - Country:US
Practice Address - Phone:479-571-6000
Practice Address - Fax:479-571-3344
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2015-04-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARA003955363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS69846Medicare UPIN
TXS69846Medicare UPIN