Individual provider · Type 1 NPI

Jodelle Ingram

Primary Care Nurse Practitioner · Bronx, NY

NPI number 1083377352 Active

Practice location

612 Allerton Ave
Bronx, NY 10467-7404

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X310492 (NY)

Primary Care Nurse Practitioner: Definition to come...

20 other providers at this address

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About NPI 1083377352

Jodelle Ingram's National Provider Identifier is 1083377352, issued on Oct 14, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bronx, NY. The record was last updated on Nov 12, 2021.