Individual
MARY JANE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
312 21ST AVE N, NASHVILLE, TN 37236-0001
(615) 321-7330
Mailing address
5035 SUTER DR, NASHVILLE, TN 37211-5132
(615) 275-8364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN056752
TN
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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