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Individual

XIAOFANG INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
16 WALNUT AVE SW, ROANOKE, VA 24016-4719
(540) 345-6468
(540) 345-3204
Mailing address
1503 HOYT ST, BLACKSBURG, VA 24060-2517
(540) 982-2463
(540) 345-3204

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024185979
VA

Other

Enumeration date
02/13/2023
Last updated
11/17/2025
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