Individual provider · Type 1 NPI

Kamika Wall

Nurse Practitioner · Olive Branch, MS

NPI number 1285137380 Active

Practice location

7040 Wind Stone Blvd Ste 150
Olive Branch, MS 38654-9090

Fax (662) 874-5870

Mailing address

PO Box 515
Cordova, TN 38088-0515

Other practice locations

  • 8254 Weatherwood Ln, Cordova, TN 38018-6344 · (901) 352-8350
  • 1009 Windcross Ct Ste 101, Franklin, TN 37067-2678 · (901) 651-1647

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X905658 (MS)
Nurse Practitioner Primary 363L00000X24058 (TN)
Registered Nurse 163W00000X169468 (TN)
Primary Care Nurse Practitioner 363LP2300X24058 (TN)
Registered Nurse 163W00000X916499 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1285137380

Kamika Wall's National Provider Identifier is 1285137380, issued on Mar 14, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Olive Branch, MS. The record was last updated on Sep 30, 2025.