Individual provider · Type 1 NPI

Kacey Ingram, RN

Registered Nurse · Conyers, GA

NPI number 1043155492 Active

Practice location

985 Taylor St SW
Conyers, GA 30012-5357

Call (770) 785-4345 Map

Mailing address

2570 Riverside Pkwy
Lawrenceville, GA 30046-3339

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN711984 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1043155492

Kacey Ingram, RN's National Provider Identifier is 1043155492, issued on Apr 22, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Conyers, GA. The record was last updated on Apr 22, 2026.