Individual
MS. CORRETHA DELSHA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
188 E CAPITOL ST STE 700, JACKSON, MS 39201-2144
(844) 809-8438
Mailing address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904258
MS
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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