Individual
MISTY SHARP INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
52 S VALLEY AVE, COLLINSVILLE, AL 35961-3263
(256) 524-3090
Mailing address
52 S VALLEY AVE, COLLINSVILLE, AL 35961-3263
(256) 524-3090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-105535
AL
Other
Enumeration date
06/10/2020
Last updated
10/19/2023
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