Individual
JONEE MICHELLE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2240 PRAIRIE AVE STE B, BELOIT, WI 53511-2648
(608) 361-7200
(608) 361-7201
Mailing address
2240 PRAIRIE AVE STE B, BELOIT, WI 53511-2648
(608) 361-7200
(608) 361-7201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318286-31
WI
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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