Provider Demographics
NPI:1669646329
Name:IKARD, JOANN (CRNP)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:IKARD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 ROUND TOP DR
Mailing Address - Street 2:
Mailing Address - City:HARVEST
Mailing Address - State:AL
Mailing Address - Zip Code:35749-9139
Mailing Address - Country:US
Mailing Address - Phone:256-468-9515
Mailing Address - Fax:
Practice Address - Street 1:2006 FRANKLIN ST SE STE 102
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4537
Practice Address - Country:US
Practice Address - Phone:256-704-7325
Practice Address - Fax:256-325-2850
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-076319363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily