Healthcare Provider Details

I. General information

NPI: 1417869884
Provider Name (Legal Business Name): SARA INGRAM FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2070 WALL ST
SPRING HILL TN
37174-4208
US

IV. Provider business mailing address

2070 WALL ST
SPRING HILL TN
37174-4208
US

V. Phone/Fax

Practice location:
  • Phone: 615-567-8965
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number226684
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: