person
Tara T Walker, PA
Medical Physician Assistant in Madison, Mississippi
NPI 1730798950

Tara T Walker is a Medical Physician Assistant based in Jackson, MS and is specialized in Medical. Tara T Walker practices in Madison, MS and has the professional credentials of PA. The NPI Number for Tara T Walker is 1730798950 and holds a License No. PA00514 (Mississippi).

The current practice location address for Tara T Walker is 106 Highland Way Ste 200, Madison, MS and can be reached out via phone at 601-200-4141 and via fax at 601-200-4150. You can also correspond with Tara T Walker through the mailing address at PO BOX 23666, JACKSON, MS - 39225-3666 (mailing address contact number: 601-200-4141).

Location: 106 Highland Way Ste 200, Madison, MS, 39225-3666
person
Provider Profile Details
NPI Number
1730798950
Provider Name
Tara T Walker
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
106 Highland Way Ste 200, Madison, MS, 39225-3666
Phone Number
601-200-4141
Fax Number
601-200-4150
Provider Enumeration Date
07/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06934765 05 MS
PA00514 01 MS MS LICENSE
1K0604 01 MS MEDICARE ST DOM
institution
Provider Business Practice Location Address Details
Address
106 Highland Way Ste 200
City
State
Zip
39110-6933
Phone Number
601-200-4141
Fax Number
601-200-4150
person
Provider Business Mailing Address Details
Address
Po Box 23666
City
State
Zip
39225-3666
Phone Number
601-200-4141
Fax Number
601-200-4150
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00514 (Mississippi)
Definition
Definition to come...
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