Individual provider · Type 1 NPI

Shanna M. Ingram, FNP-C

Family Nurse Practitioner · Ballwin, MO

NPI number 1982451027 Active

Practice location

15945 Clayton Rd
Ballwin, MO 63011-2382

Mailing address

326 Reardon Dr
Kirkwood, MO 63122-6452

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF02240771 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1982451027

Shanna M. Ingram, FNP-C's National Provider Identifier is 1982451027, issued on May 6, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ballwin, MO. The record was last updated on May 6, 2024.