Individual provider · Type 1 NPI

Glory Obianuju Ikerodah, FNP

Nurse Practitioner · Kankakee, IL

NPI number 1932675006 Active

Practice location

1777 E Court St
Kankakee, IL 60901-2670

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209018155 (IL)
Nurse Practitioner Primary 363L00000X277.002987 (IL)

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…

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About NPI 1932675006

Glory Obianuju Ikerodah, FNP's National Provider Identifier is 1932675006, issued on Oct 16, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kankakee, IL. The record was last updated on Mar 13, 2024.