NPI 1013114677
Wanda Ikeda, ACNP
Practice location
- Address
- 499 Gloster Creek Vlg STE A2, Tupelo, MS 38801-4749
- Phone
- (662) 620-6800
- Fax
- (662) 377-2403
- Mailing address
- PO Box 3488, Tupelo, MS 38803-3488
Registered specialties
Acute Care Nurse Practitioner
Primary
Registry record
- NPI
- 1013114677
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jun 2007
- Record last updated
- 17 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.