Individual
TYRONIQUE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, CNM
Contact information
Practice address
16777 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3228
(225) 761-5200
Mailing address
1009 CHERIE LN, SLIDELL, LA 70460-3988
(504) 939-3450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206496
LA
367A00000X
Advanced Practice Midwife
206496
LA
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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