Provider Demographics
NPI:1447902267
Name:WALKER, EMMA VIRGINIA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:VIRGINIA
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 CUMBERLAND BND APT 326
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1821
Mailing Address - Country:US
Mailing Address - Phone:770-876-4702
Mailing Address - Fax:
Practice Address - Street 1:101 TENNESSEE WAY
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-3160
Practice Address - Country:US
Practice Address - Phone:629-255-0339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-23
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician