Individual
MRS. JAN M INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4010 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
Mailing address
4010 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
363LP0808X
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
762224400
—
FL
Enumeration date
03/28/2007
Last updated
10/03/2011
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