Individual
DANIELLE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
3191 HARBOR BLVD STE A, PORT CHARLOTTE, FL 33952-6755
(239) 690-6906
Mailing address
25336 E LENOX CIR, PUNTA GORDA, FL 33950-1336
(239) 470-4564
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11036624
FL
Other
Enumeration date
12/04/2024
Last updated
03/04/2026
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