Individual
STACY R INGRAM-HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
815 W POYTHRESS ST, HOPEWELL, VA 23860-2532
(804) 458-8557
(804) 541-7113
Mailing address
815 W POYTHRESS ST, HOPEWELL, VA 23860-2532
(804) 458-8557
(804) 541-7113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0357112
VA
363LF0000X
Family Nurse Practitioner
0024164728
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010297427
—
VA
Enumeration date
02/08/2006
Last updated
09/12/2022
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