Provider Demographics
NPI:1477091726
Name:IKENS, TONI LYNN (APN, FNP, BC)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:LYNN
Last Name:IKENS
Suffix:
Gender:F
Credentials:APN, FNP, BC
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:LYNN
Other - Last Name:SPINELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:123 SOUTH MAIN
Mailing Address - Street 2:
Mailing Address - City:TAMPICO
Mailing Address - State:IL
Mailing Address - Zip Code:61283
Mailing Address - Country:US
Mailing Address - Phone:815-632-5285
Mailing Address - Fax:815-632-5824
Practice Address - Street 1:101 E. MILLER ROAD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081
Practice Address - Country:US
Practice Address - Phone:815-625-4790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-07
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015240363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily