Individual
JAMES INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
157 ALDERSGATE DR, JACKSONVILLE, NC 28546-5846
(910) 508-3616
Mailing address
157 ALDERSGATE DR, JACKSONVILLE, NC 28546-5846
(910) 508-3616
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043632
NC
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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