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Individual
STEPHANIE ANN INGRAM
Active
Individual
STEPHANIE ANN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00943300
NJ
364SF0001X
Family Health Clinical Nurse Specialist
343726
NY
Other
Enumeration date
12/20/2018
Last updated
02/21/2020
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