Individual provider · Type 1 NPI

Tinasia Ada Ingram

Licensed Practical Nurse · Central Islip, NY

NPI number 1720429616 Active

Practice location

113 Applegate Dr
Central Islip, NY 11722-1925

Call (631) 742-7338 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X314802 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1720429616

Tinasia Ada Ingram's National Provider Identifier is 1720429616, issued on Jul 9, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Central Islip, NY. The record was last updated on Jul 9, 2013.