NPI 1013294610

Colette C Ikem, MSNCNM

Practitioner Advanced Practice Midwife Jacksonville, FL

Practice location

Address: 515 W 6th St, Jacksonville, FL 32206-4324
Phone: (904) 253-2720

Registered specialties (2)

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 11029274 (FL)

Other Advanced Practice Midwife providers in Florida →

Ambulatory Women's Health Care Registered Nurse

Nursing Service Providers Taxonomy 163WW0101X Licence RN9654688 (FL)

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Registry record

NPI: 1013294610
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Nov 2011
Record last updated: 18 Jun 2024

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.