Provider Demographics
NPI:1427884618
Name:WALKER, WHITNEY ALEXANDRA (NP)
Entity type:Individual
Prefix:MISS
First Name:WHITNEY
Middle Name:ALEXANDRA
Last Name:WALKER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:WHITNEY
Other - Middle Name:ALEXANDRA
Other - Last Name:BROOME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 CHATEAU DR
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47303-1900
Mailing Address - Country:US
Mailing Address - Phone:765-747-9044
Mailing Address - Fax:
Practice Address - Street 1:2400 CHATEAU DR
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47303-1900
Practice Address - Country:US
Practice Address - Phone:765-747-9044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71015751A363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology