Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NIKKI MO WYNN, M.D.
ActiveNIKKI MO WYNN, M.D. is a Critical Care Medicine healthcare provider located in FORT WAYNE, Indiana. NPI 1184979882 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · FORT WAYNE, IN
Registration Details
- NPI Number
- 1184979882
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2012 (14.07233953603 yrs)
- Last Updated
- Sep 30, 2020
- Licenses
-
01081038A (IN)01081038A (IN)
Practice Information
- Address
-
7950 W JEFFERSON BLVDFORT WAYNE, IN, 468044140Browse IN providers · Browse ZIP 46804
- Phone
- 2604322297
- Fax
- 2604346481
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Critical Care Medicine
Other Critical Care Medicine Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| DR. KELLEY RAE LOCKHART | M.D. | 1033192679 |
| DR. CHUCK G NWAKANMA | — | 1417984063 |
| CUTHBERT O. SIMPKINS II | MD | 1174543961 |
| DAVID EMERY | M.D. | 1649292400 |
| DONGHONG ZHANG | MD | 1477577435 |
| DR. CARL MARC WILLIAMS | M.D. | 1003971490 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.