Healthcare Provider Details

I. General information

NPI: 1679425565
Provider Name (Legal Business Name): INGRID AMANDA ARMOUR APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 W BALDWIN RD
PANAMA CITY FL
32405-3364
US

IV. Provider business mailing address

902 E 2ND CT
PANAMA CITY FL
32401-3830
US

V. Phone/Fax

Practice location:
  • Phone: 850-747-3661
  • Fax:
Mailing address:
  • Phone: 404-556-7325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberAPRN11045482
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: