LISA MICHELLE WALKER FNP-BC NPI 1144864653

NPI Information

NPI: 1144864653
Provider Name: LISA MICHELLE WALKER, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: STEPHENS OUTREACH CENTER, INC

PECOS Registration: Yes

Address:
13104 NC HIGHWAY 130 E
FAIRMONT, NC
ZIP 28340
Phone: (910) 535-4123
Get Directions

Lisa Michelle Walker, FNP-BC is a family nurse practitioner in Fairmont, NC with 5 years of experience. Lisa Michelle Walker, FNP-BC NPI is 1144864653. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13104 NC HIGHWAY 130 E
FAIRMONT, NC
ZIP 28340-597
Phone: (910) 535-4123

The NPI 1144864653 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2019 and was last updated on 8/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	5012465	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1144864653	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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