Individual
SARAH INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-6850
(682) 885-6799
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1011640
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1011640
TX
Other
Enumeration date
02/01/2021
Last updated
01/03/2024
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