Ebony Ingram
Licensed Practical Nurse · Bartow, FL
Practice location
1239 E Main StBartow, FL 33830-5058
- Phone
- (863) 519-0575
- Fax
- (863) 582-9251
NPI record
- NPI
- 1407247521
- Entity type
- Individual (Type 1)
- Enumeration date
- February 11, 2015
- Last updated
- February 11, 2015
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
PN5216601 | FL |
Mailing address
PO Box 1559Bartow, FL 33831-1559
- Phone
- (863) 519-0575
- Fax
- (863) 582-9251
About Ebony Ingram
Ebony Ingram is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 1239 E Main St, Bartow, FL 33830-5058. The NPI number 1407247521 was assigned on February 11, 2015 and the record was last updated on February 11, 2015.
Ebony Ingram lists a license in the registry: #PN5216601 (FL) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Ebony Ingram?
The NPI number is 1407247521.
What is the phone number of Ebony Ingram?
The phone number listed for the practice location is (863) 519-0575.
Where is Ebony Ingram located?
1239 E Main St, Bartow, FL 33830-5058.
What is the taxonomy code for Ebony Ingram?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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