Individual provider · Type 1 NPI

Wanda Ikeda, ACNP

Acute Care Nurse Practitioner · Tupelo, MS

NPI number 1013114677 Active

Practice location

499 Gloster Creek Vlg Ste A2
Tupelo, MS 38801-4749

Fax (662) 377-2403

Mailing address

PO Box 3488
Tupelo, MS 38803-3488

Other practice locations

  • 2892 S Lamar Blvd, Oxford, MS 38655-5347 · (662) 234-7441

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XR696196 (MS)

Acute Care Nurse Practitioner: Definition to come...

25 other providers at this address

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About NPI 1013114677

Wanda Ikeda, ACNP's National Provider Identifier is 1013114677, issued on Jun 28, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Tupelo, MS. The record was last updated on Mar 17, 2018.