Individual
HEATHER INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
434 4TH ST STE 201, NEWPORT, TN 37821-3736
(423) 613-6379
Mailing address
434 4TH ST STE 201, NEWPORT, TN 37821-3736
(423) 613-6379
(423) 613-6380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28411
TN
Other
Enumeration date
10/21/2020
Last updated
09/17/2021
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