Individual provider · Type 1 NPI
Octavia Ingram, DNP, FNP-C, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Northport, AL
NPI number
1619459518
Active
Practice location
13729 Tab Dr
Northport, AL 35475-1694
Fax (929) 929-1476
Other practice locations
- 39 W 14th St Ste 506, New York, NY 10011-7403 · (929) 777-0173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-142018 (AL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403475 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Northport
About NPI 1619459518
Octavia Ingram, DNP, FNP-C, PMHNP-BC's National Provider Identifier is 1619459518, issued on Sep 6, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Northport, AL. The record was last updated on Aug 16, 2022.