Individual
KRISTEN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HOSPITAL DR W, HATTIESBURG, MS 39402-1346
(601) 296-3000
(601) 296-3001
Mailing address
200 HOSPITAL DR W, HATTIESBURG, MS 39402-1346
(601) 296-3000
(601) 296-3001
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R887211
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05789651
—
MS
Enumeration date
06/11/2015
Last updated
03/07/2023
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