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MS. WANDA IKEDA ACNP
NPI 1013114677
Nurse Practitioner - Acute Care in Tupelo, MS

Active since June 28, 2007
499 GLOSTER CREEK VLG STE A2, TUPELO, MS 38801(662) 620-6800(662) 377-2403 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Feb 21, 2018 (2 updates tracked since 2018).

About Ms. Wanda Ikeda Acnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. WANDA IKEDA ACNP (NPI 1013114677) is an individual acute care provider in Tupelo, Mississippi, licensed in Mississippi (R696196) and active in the NPI registry since June 2007. She maintains a secondary practice location in Oxford.

NPPES Registry Identity

NPI1013114677
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. WANDA IKEDACredential: ACNP
Location Address499 GLOSTER CREEK VLG STE A2Tupelo, MS 38801-4749
Mailing AddressPo Box 3488Tupelo, MS 38803-3488 · (662) 377-2949 · Fax (662) 377-2403
Phone(662) 620-6800
Fax(662) 377-2403
Sole ProprietorNo
Enumeration DateJune 28, 2007
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1013114677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MS · R696196
499 GLOSTER CREEK VLG STE A2, Tupelo, MS 38801
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Secondary Practice Location 1

Location 12892 S LaMar BlvdOxford, MS 38655-5347 · Phone (662) 234-7441 · Fax (662) 620-6950

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ELIZABETH EWING BAILEY ACNP
Nurse Practitioner (Acute Care)
499 GLOSTER CREEK VLG STE A2, SUITE A-2
TUPELO, MS 38801
Lee County (662) 620-6800
DR. MICHAEL TED BOLER JR. D.O.
Internal Medicine (Cardiovascular Disease)
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801
Lee County (662) 620-6800
DOUGLAS L HILL MD
Internal Medicine (Cardiovascular Disease)
499 GLOSTER CREEK VLG STE A2, CARDIOLOGY ASSOCIATES OF NORTH MS
TUPELO, MS 38801
Lee County (662) 620-6800
BRANDON HEATH PETTY
Nurse Practitioner
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801
Lee County (662) 620-6800
JACK B FOSTER JR. MD
Internal Medicine (Cardiovascular Disease)
499 GLOSTER CREEK VLG STE A2, CARDIOLOGY ASSOCIATES OF NORTH MS, PA
TUPELO, MS 38801
Lee County (662) 620-6800
MR. CHRISTOPHER M. BELL ACNP
Nurse Practitioner (Acute Care)
499 GLOSTER CREEK VLG STE A2, CARDIOLOGY ASSOCIATES OF NORTH MS, PA
TUPELO, MS 38801
Lee County (662) 620-6800
ELSHEIKH MAMOUN ELSHEIKH ABDELRAHIM
Internal Medicine (Clinical Cardiac Electrophysiology)
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801
Lee County (662) 620-6800
NORTH MISSISSIPPI CLINICS LLC
Internal Medicine (Cardiovascular Disease)
499 GLOSTER CREEK VLG STE A2
TUPELO, MS 38801
Lee County (662) 620-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wanda Ikeda's NPI number?

The NPI number for Wanda Ikeda is 1013114677. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Wanda Ikeda located?

Wanda Ikeda practices at 499 Gloster Creek Vlg Ste A2, Tupelo, MS 38801. The listed phone number is (662) 620-6800.

What is Wanda Ikeda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Wanda Ikeda was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.