Provider Demographics
NPI:1326856030
Name:FORD-WALKER, ALICIA DONIELLE (APRN, RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:DONIELLE
Last Name:FORD-WALKER
Suffix:
Gender:F
Credentials:APRN, RN, BSN
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:DONIELLE
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:9523 ELM FOREST LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-8238
Mailing Address - Country:US
Mailing Address - Phone:407-716-4701
Mailing Address - Fax:
Practice Address - Street 1:9523 ELM FOREST LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32829-8238
Practice Address - Country:US
Practice Address - Phone:407-716-4701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11036728207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine