Individual
VERA IKEKHIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
930 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5136
(931) 538-6420
Mailing address
1756 SPRING HAVEN DR, CLARKSVILLE, TN 37042-1716
(931) 241-2212
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
33010
TN
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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