Individual
MELISSA LEA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1300 E IRON AVE, SALINA, KS 67401-3227
(785) 339-0939
Mailing address
4601 E DOUGLAS AVE, WICHITA, KS 67218-1011
(785) 339-0939
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5374805
KS
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
5374805
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100423670D
—
KS
Enumeration date
06/16/2016
Last updated
12/15/2025
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