Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY JO WALKER
ActiveTRACY JO WALKER is a Gerontological Nurse Practitioner healthcare provider located in ROANOKE, Illinois. NPI 1235886094 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · ROANOKE, IL
Registration Details
- NPI Number
- 1235886094
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 2, 2022 (4.4702463100599 yrs)
- Last Updated
- Mar 2, 2022
- License
-
209024834 (IL)
Practice Information
- Address
-
401 N MAIN STROANOKE, IL, 615617585Browse IL providers · Browse ZIP 61561
- Phone
- 3099232661
- Fax
- 3099237628
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.