Individual provider · Type 1 NPI

Donnietra La'verne Walls, AGACNP-BC

Acute Care Nurse Practitioner · Jackson, MI

NPI number 1710654744 Active

Practice location

1201 E Michigan Ave Ste 240
Jackson, MI 49201-1855

Fax (517) 782-1713

Other practice locations

  • 812 Cliffs Dr Apt 201, Ypsilanti, MI 48198-7324 · (810) 610-4054

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X2021034592 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1710654744

Donnietra La'verne Walls, AGACNP-BC's National Provider Identifier is 1710654744, issued on Aug 26, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Jackson, MI. The record was last updated on Oct 13, 2023.