Individual
JAHQUAN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1405 CENTERVILLE RD STE 5400, TALLAHASSEE, FL 32308-4654
(850) 877-0101
Mailing address
8581 BANNERMAN BLUFF DR, TALLAHASSEE, FL 32312-8028
(386) 984-5703
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11016569
FL
Other
Enumeration date
11/13/2021
Last updated
02/13/2024
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