Individual
MR. ZACHARY ALLEN INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
26317 WASHINGTON ST, NORTH DINWIDDIE, VA 23803-2727
(412) 500-4571
Mailing address
420 N 18TH ST APT 306, RICHMOND, VA 23223-6394
(412) 500-4571
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024190854
VA
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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