Individual provider · Type 1 NPI

Destiny Deonna Walters, PA

Physician Assistant · Huntersville, NC

NPI number 1619503547 Active

Practice location

9930 Kincey Ave Ste 300
Huntersville, NC 28078-6541

Call (704) 316-5600 Map

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1171842 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619503547

Destiny Deonna Walters, PA's National Provider Identifier is 1619503547, issued on Mar 23, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Huntersville, NC. The record was last updated on Dec 29, 2025.