Individual
MR. ISREAL KIRK HUNTER WAKEFIELD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
8103 E US HIGHWAY 36, 227, AVON, IN 46123-7964
(317) 838-5693
Mailing address
8103 EAST HIGHWAY 36, PMB 227, AVON, IN 46123
(317) 838-5693
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28193439A
IN
Other
Enumeration date
05/12/2025
Last updated
10/16/2025
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