Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kamika Wall

Individual provider Primary Care Nurse Practitioner · NPI 1285137380

Kamika Wall is a Primary Care Nurse Practitioner in Olive Branch, Mississippi. Works from 3 locations. Licensed in Mississippi and Tennessee.

Licensed in
MS, TN
In the registry since
2018
Specialties on file
5

Practice location Address checks out

7040 Wind Stone Blvd Ste 150
Olive Branch, MS 38654-9090
Phone: (662) 874-5828
Fax: (662) 874-5870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8254 Weatherwood Ln, Cordova, TN 38018-6344 — (901) 352-8350
  • 1009 Windcross Ct Ste 101, Franklin, TN 37067-2678 — (901) 651-1647

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 24058 (TN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 905658 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 169468 (TN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 24058 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 916499 (MS)

Record details

NPI number1285137380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 14, 2018
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing addressPo Box 515, Cordova, TN 38088-0515