Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bolakale Ikwu, PMHNP-BC, MSN, CNL, RN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1154011120

Bolakale Ikwu, PMHNP-BC, MSN, CNL, RN is a Nurse Practitioner in Union, New Jersey. Qualified in 2023, 3 years ago. Practices with Amity Healthcare Services, a 4-clinician group. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

936 Stuyvesant Ave
Union, NJ 07083-6991
Phone: (973) 449-9885
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ01481700 (NJ)

Record details

NPI number1154011120
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , MSN , CNL , RN
Sole proprietorYes
NPI enumeratedMay 11, 2023
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Amity Healthcare Services — 4 clinicians
Accepts Medicare assignment Not indicated

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