Individual
DESTINY AMY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
7711 QUARTERFIELD RD STE A, GLEN BURNIE, MD 21061-4492
(410) 761-5600
Mailing address
5214 LIGHTNING VIEW RD, COLUMBIA, MD 21045-2240
(410) 660-5576
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R227150
MD
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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