Provider Demographics
NPI:1346128709
Name:WALKER, MONICA L
Entity type:Individual
Prefix:MS
First Name:MONICA
Middle Name:L
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 1:10175 FORTUNE PARKWAY
Mailing Address - Street 2:SUITE 1103
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-3810
Mailing Address - Country:US
Mailing Address - Phone:904-304-0375
Mailing Address - Fax:
Practice Address - Street 1:7845 PARADISE ISLAND BLVD APT 5806
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-3810
Practice Address - Country:US
Practice Address - Phone:904-563-5024
Practice Address - Fax:904-563-5024
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide