Individual provider · Type 1 NPI

Xiaofang Ingram

Psychiatric/Mental Health Nurse Practitioner · Roanoke, VA

NPI number 1912604737 Active

Practice location

16 Walnut Ave SW
Roanoke, VA 24016-4719

Fax (540) 345-3204

Mailing address

1503 Hoyt St
Blacksburg, VA 24060-2517

Other practice locations

  • 107 Church St SE # 2S, Blacksburg, VA 24060-4858 · (540) 625-1569
  • 1503 Hoyt St, Blacksburg, VA 24060-2517 · (201) 500-6992

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024185979 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1912604737

Xiaofang Ingram's National Provider Identifier is 1912604737, issued on Feb 13, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Roanoke, VA. The record was last updated on Aug 25, 2026.