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MRS. JACQUELINE INGRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
22 INVERNESS CENTER PKWY STE 350, HOOVER, AL 35242-4820
(866) 686-2504
Mailing address
202 BROADLEAF WAY, MIDLAND CITY, AL 36350-7104
(334) 790-4329

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-139311
AL

Other

Enumeration date
02/02/2024
Last updated
02/02/2024
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