Provider Demographics
NPI:1861057721
Name:WALKER, TRACY CAMILLE (FNP-C)
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:CAMILLE
Last Name:WALKER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:TRACY
Other - Middle Name:CAMILLE
Other - Last Name:DENTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1264 FM 78
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2469
Mailing Address - Country:US
Mailing Address - Phone:210-352-5966
Mailing Address - Fax:210-332-5198
Practice Address - Street 1:1264 FM 78
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2469
Practice Address - Country:US
Practice Address - Phone:210-352-5966
Practice Address - Fax:210-332-5198
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-07
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141554363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily